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#REDIRECT [[IR 05000295/1987001]]
{{Adams
| number = ML20204F131
| issue date = 03/16/1987
| title = SALP Board Insp Repts 50-295/87-01 & 50-304/87-01 for Oct 1985 - Nov 1986.Category 1 Rating Given in New Functional Areas of Outages & Training & Qualification Effectiveness & Security & Licensing Activities
| author name =
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
| addressee name =
| addressee affiliation =
| docket = 05000295, 05000304
| license number =
| contact person =
| document report number = 50-295-87-01, 50-295-87-1, 50-304-87-01, 50-304-87-1, NUDOCS 8703260140
| package number = ML20204F033
| document type = SYSTEMATIC ASSESSMENT OF LICENSEE PERFORMANCE, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 36
}}
See also: [[see also::IR 05000295/1987001]]
 
=Text=
{{#Wiki_filter:.
ds
                                                              SALP 6
                                SALP BOARD REPORT
                      U. S. NUCLEAR REGULATORY COMMISSION
                                    REGION III
                SYSTEMATIC ASSESSMENT OF LICENSEE PERFORMANCE
                          50-295/87001; 50-304/87001
                            Inspection Report No.
                              Commonwealth Edison Company
                                Name of Licensee
                                Zion Units 1 and 2
                                Name of Facility
                  October 1,1985 through November 30, 1986
                                Assessment Period
        40 87
    32h0CgOShoh95
              ppg
  G
 
.
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                                      TABLE OF CONTENTS
                                                                      Page No.
  I.      INTRODUCTION                                                  1
  II. CRITERIA                                                          2
  III. SUMMARY OF RESULTS                                                4
  IV. PERFORMANCE ANALYSIS                                              5
          A.    Plant Operations                                          5
          B.    Radiological Controis                                    8
          C.    Maintenance                                              11
          D.    Surveillance                                            13
          E.    Fire Protection                                          14
          F.    Emergency Preparedness                                  16
          G.    Security                                                17
          H.    Outages                                                  19
          I.    Quality Programs and Administrative Controls            22
                Affecting Quality
          J.    Licensing Activities.                                    24
          K.    Training and Qualification Effectiveness                26
  V.    SUPPORTING DATA AND SUMMARIES                                  29
          A.    Licensee Activities                                      29
          B.    Inspection Activities                                  30
          C.    Investigations and Allegations Review                  31
          D.    Escalated Enforcement Actions                          31
          E.    Licensee Conferences Held During Assessment Period      31
          F.    Confirmatory Action Letters                            31
          G.    Review of Licensee Event Reports and 10 CFR 21 Reports  32
          H.    Licensing Actions                                      33
 
                              _
            .
            .
              I.  INTRODUCTION
                  The Systematic Assessment of Licensee Performance (SALP) program is an
l                  integrated NRC staff effort to collect available observations and data on
(                  a periodic basis and to evaluate licensee performance based upon this
l                  information. SALP is supplemental to normal regulatory processes used to
j                  ensure compliance to NRC rules and regulations. SALP is intended to be
                  sufficiently diagnostic to provide a rational basis for allocating NRC
                  resources and to provide meaningful guidance to the licensee's management
                  to promote quality and safety of plant construction and operation.
                  An NRC SALP Board, composed of staff members listed below, met on
                  February 10, 1987, to review the collection of performance observations
                  and data to assess the licensee performance in accordance with the
                  guidance in NRC Manual Chapter 0516, " Systematic Assessment of Licensee
                  Performance." A summary of the guidance and evaluation criteria is
                  provided in Section II of this report.
                  This report is the SALP Board's assessment of the licensee's safety
                  performance at the Zion Generating Station for the period October 1,
                  1985, through November 30, 1986.
                  SALP Board for Zion Generating Station:
                  Chairman
                  *J. A. Hind, Director, Division of Radiological Safety and Safeguards
                  Board
                  *C. E. Norelius, Director, Division of Reactor Projects
                  *C. J. Paperiello, Director, Division of Reactor Safety
                  *J. A. Norris, Licensing Project Manager, NRR
                  *M. M. Holzmer, Senior Resident Inspector
                    R. F. Warnick, Chief, Projects Branch 1
                  *B. L. Burgess, Chief, Reactor Projects Section 2A
                    P. L. Eng, Resident Inspector
                    J. W. McCormick-Barger, Reactor Engineer, Technical Support Staff
                    R. M. Lerch, Project Inspector, Section IA
                  * Voting members of the Board.
  .. .. . .      .
                        ._ ..
 
                                            ^
                                                                                                                                                                        ,
                        \
                            't                        %            O            s
                                                                                        %
                                                                                                  %;
                    '
                                                    i,                s              L
                        ',[j,
                            g                  t
                                                  9                                    Ig        s
*                        g      o                  i                                          g'                                                                              \<
  II. CRITERIA ~            [,c
                          p,.
                                            D          $                              ,
                                                                                                          h                      .
                                                                                                                                                    '
                                                                                                                                                                                  m(
                                                              -
                                                                                                          .
                                                                                                                                3
      5    ThE licinsee s performance is a s ssed in selected functioNN areas                                                                                                            '
            dependird whether the facilith' inaconstruEtioQere-oMati'enalor                                                                                                                      ,.
            operating phase.          Each functienal aree normal 7y reprtcentsp an(area
            significant to nuclear safety \nd che environment, and is a normal                                                                                                                i
            programmatic area, Soms functional areas aay not be,a'ssessed because of                                                                                                    '
                                                                                                                                                                                  .
            little or no licensee activities or lack of mearingfdl observations.
                                                                                                                                                          '
                                                                                                                                                                              \,?
      '
            Special areas may be added to highlight significant observations.                                                                                                      is
                                                                                                                                                                            '
                                                                                      3,            !
        '
            One'or more of the following evdation crira-ia' were. used to assess each                                                                                        -
                                                                                                                                                                          '''
            functt g 1 area.
                  r                            ,
                                                  r,p) C ' ' y.
            A. /y sManagement involvement in@ssuring qualf ty.                                                                                                                                  .
                      Approachtoresolutionoftechnicalissuesfpmasafetystandpoint.\
                                                                                                            ~
        ,
            B.
      , 't;                                                                                          '<.                                                    t,
                                                  ,                                  ,
            C. ' i desponsiveness to NRC init'.Ttives.                                1            (
                          's                        i /i                              '! O                                                                \'
            D.        Enfoicede.'t histor'y.
                                  s        s
                                                  (
                                                      \\                  , ''    '          g
                                                                                              ,        (
                                                                                                                                                      s
                                                                                                                                                    x:      '
            E.    )OperationalandConstructionevents(fnclydingresponseto,analhsis''
                      of, and corrective,hgi,ols for).                                ,{                                                          )
                                      f. .J      e                                                                                              ,3
            F.        Staffing (including *mana'gement).                              '
                                                                                          ,
                                                                                                                                                Il
                                                                                                                                              l-
            However, the SALP Board is not limited,to thhe criteria and others may
            have been used where appropriate.'                                        g i.'
                                                                                        '
            BasedupontheSALPBoa'rdasse'ssmnt,babifunctionalareae'vafuatedis                                                                                    . .
            classified into one of three performance \ sate @. ies. The definftfon of                                                                        ds
            these performance categories is:                              g
                                                                                  N,
                                                                                                '
                                                                                                                                ( -
                                                                                                                                                                4
                                                                                                                                                            ' y, .
                                                                                                                                                                                              - -
                                                                                                                                        s.
            Category 1:        Reduced NRC attention may be apropriate. Licensee                                                                                h
            management attention and involvement ar2 aggressive and oriented toward                                                                                            (
            nuclear safe'ty; licensee resources are ample and effectivWy used so that
            a high level of performance'with respect to operational satAty or                                                                                                                      4
          monstruction is being achhved.                                                                                      '
  "
            Category 2: NRCattentionkhouldbemaintainedatnormallevels.
            Licensee management attention and involvement are evident and are
            concerned with nuclear safety; licensee resources are adeduate and are                                                                                  g
            reasonably effective such that satisfactory performance with                                                      '
                                                                                                                                            respect to            '
                                                                                                                                                                    < ,
                                                                                                                                                                          ',
                                                                                                                                                                                            '
            operatipnal safety or constrb: tion is being achieved.
                                                        N
                                                                                                                            %
            Catejoay 3: Both NRC and licensee attention should be Ocreased.
            Licensee management attentKr or involvement is acceptable and considers                                                                                (
            nuclear safety, but weaknesses are evident; licensee resources appear to                                                                                i          '
            be strained or not effectively used so that minimally satisfactory                                                                                  s
                                                                                                                                                                        t          '
                                                                                                                                                                                      '
            performance with respect to operational safety or construction is being                                                                                '
            achieved.                                                                                        V              i
                              N                                                                            )
                                                                                                          4                                                                              .
                                                                                            t
                                                                                                        Y            (,s-                                            ,
                                                                                            )          -
                                                                                                                ,
                                                                  ,!                                                          \
                                                      '                                                                                                                              ~i
                                                                2                                                                                                                    ,1
                                                                                                              ~                    ,
                                                                                                              t                      -
                                                                                                                                                                                                  4
                                                          .,.
                                                                                                                                                        '
                                                        ,                -__ _ _                                , _ _ . .
                                                                                                                                        --
                                                                                                                                                  _                  ,
 
fi    (
            -l..sN.
            .-          'h
                                      Trend: The SALP Board may determine to include an appraisal of the
                                      performance trend of a functional area. Normally, this performance
                                      trend is only used where both a definite trend of performance is
                                      discernible to the Board and the Board believes that continuation of                        ;
,                                      the trend may result in a change of performance level.
              ''- l ,
    J'..                              The trend, if used, is defined as:
  ';
    ls            '
                            "'
                                      a.              Improving
        'ss -                s                                                                                                    :
                                                      Licensee performance was determined to be improving near the close          '
          *
            ,
                                                      of the assessment period,
                                      b.            Declining
e
                                                      Licensee performance was determined to be declining near the close
                                                      of the assessment period.
                                                '
                                            i
                                                  gn
                                          (.
                    s
                                  '
                                    ,,
                                                  \
                                      v.
                                                        '
      t
      s -y' a
        g
      N L ' ),
            '
                      s                          s
                                (                  %
                                  vs .
                                          t
                                            . 'i s'
                                e
                        s      6,          '
                        ,\ %
                                    1
                                        +
    4
                          4
                  \
                \
                                                                                  3
                                                      :
                                                                                                          _ _ _ _ _      _ _ - _ .
 
                                                                                                    ,                              ,
                                                  ,
                                                                    s:            ,
                                                                                                                                                    , ,
              .                                                                                                                                      <
                                                              .;f
                                                                                                                                              *
                -
                .                                        , . , )
                                                          ''
              -
              '
                                                            ]>                                                ,
                                                                                                                                  ,              ,-
                            III. SUMMARY OF RESULTS                                                                              s
                                                                                                                                                    (
                                                                                                            /)
                                                                                                                            ,
                                                                                                                    .
                                                                                                                                ,
    /                            '0verall, the NRC has found the licensee's performance' acceptable and                                                -
                                    'dir'ected toward safe facility operation. However,ithe Ticensee's                                                  1 <
                                      overall performance remained lat the same . level identifie'd in the last
                        *
                                      SALP period. A Category 1 rating was given in the new functional areas
                                                                                                                                                          /
                                      of Outages and Training and Qualification Effectiveness. Continued e
                                      Category 1 performance was noted in the areas of Security and Licensing
                                      Activities and seven areas remained at a Category 2 rating. The licensee                                              i
                                      should continue to provide aggressive management attention to the SALP
                                      Category 2 functional areas -in order to achieve the level of performance
                                      desired by both the NRC and the licensee.                                                          '
..
                                                                                                          ,
                                                                                                        s
                                                    ,                                        Ratfag                    Rating Thisp
                                      Functional' Area                  i                  SALP :5            /        Period
                                                                                                                                      '
                                                                                                                                        Trend
                                                      '
                                                                                      '
                            A.        Plant Operations                    '
                                                                                                2                          2
  ;                        B.        Radiological Controls                                    2                            2
      ,                    C.        Maint.enance                                "
                                                                                                2                            2
                                                                                                                                                              z
                                                                        '
                    -    'D. J SurvetD, ance
                                -
                                                                    ,
                                                                                                2.                          2
                                              ..
                                                                  ,
                                                                                      '
                            d.        Fi S Protection                                          2
                                                                                                    ?
                                                                                                                              2
                                                  L                                      .-                                              -
                                  . Emergency Preparedness
                                                                                          '
                            F.                                                                  2                            2
                                        ,                                                      .
                                                                                            ,
                            G.        Security                                                  1                            1                              1
                                          ,
                                                                                                l'
                                                                                                                                        !
                      .    K. * ' Outages **                              i                                                1
                      i
                  ay        I.      , Quality Programs and
                                            Administrative Controls                                                                                          {
            ,
                  ,g                  /
                                      O,Affecting        Quality                                2                            2
          (
        p        3' /,
                            J.        Licensing Activities                      /
                                                                                                1                            1
                            K.        Training and Qualification
                                          , Effectiveness ,                                  *N/R                            1
                                    a
                            *
                            **        Not rated (new( functional area for SALP 6)
        <                            For SALP 6.the previous Refueling functional area has been expanded to
                                      encompass al' major outage activities.
                                    y          e                              i'
                                        '
                                                          .
L
                  \                .
    ,
                                                                                        '
                                                                                                      4          ,
                                                                                                                      !
                        t
                                                      y                      ;  Y
 
  r
      .
                                                                                            ,
      ,-
        IV. PERFORMANCE ANALYSIS
              A.  Plant Operations
                  1.  Analysis
                        During the assessment period, nine inspections were performed
                        by the resident inspectors in this functional area.    This
                        assessment was based on direct observation of operating
                        activities such as startups, shutdowns, routine evolutions and
                        response to abnormal plant conditions, reviews of logs and
                        other records, verification of equipment lineup and
                        operability, and followup on significant cperating events.
                        Five violations of NRC requirements were identified in this
                        area during the assessment period, all of which were Severity
                        Level IV. One of the violations stemming from an auxiliary
                        feedwater pump being inoperable for 14 days longer than allowed
                        by Technical Specifications (TS), resulted in an enforcement
                        conference and a proposed Severity Level III violation. Appeal
                        of the severity level by the licensee was found acceptable by
    '
                        the NRC and the violation was issued as a Severity Level IV
                        on December 19, 1986. Another violation, consisting of failure
                        to meet TS requirements. involved the loss of recirculation
                        flow to the Unit 1 borce .njection tank (BIT) for a time period
                        in excess of that allowed by the TS.
                        Three other Level IV violations identified were failures to
                        meet the requirements of 10 CFR Part 50. One violation
                        involved the failure to report the closure of containment
                        purge valves as required by Part 50.72, and occurred early
                        in the assessment period. Since that time, the licensee has
                        adhered to the require.ments of both Parts 50.72 and 50.73.
                                                -
,                      Two other violations pertained to 10 CFR Part 50 Appendix B,
                        Criterion V, one of which resulted from the failure to follow
                        a procedural caution while attempting to pull fuses to main
                        steam isolation valve (MSIV) control power. The other, which
                        was the result of a procedural inadequacy as supported by
                        three examples, involved the loss of both trains the residual
                        heat removal system while the reactor coolant system was
                        partially drained for maintenance.
                        During the 17 month SALP 5 assessment period, there were six
                        violations of NRC requirements consisting of eight examples.
                        Compared with the current SALP period of 14 months and the
                        cited five violations consisting of seven examples, the rate
                        at which violations occur appears to be nearly equal.      However,
                        two violations were related to events that represented a
                        greater safety significance than those that were noted during
                        the previous assessment period. These were the inadequacy
                        of Procedure MI-6 and the inoperability of the auxiliary
                        feedwater pump for 14 days longer than allowed by TS.
          +
                                                  5
 
.
.
  Unit I tripped three times and Unit 2 tripped four times
  during this assessment period, with six of the seven trips
  occurring while the units were above 15% power and one of
  the Unit 1 trips occurring between 0% and 15% power. All
  reactor  trips were automatic and not manual. Three of the
  reactor  trips were caused by equipment failures. Of these,
  one was  related to the turbine electro-hydraulic control
  system,  one was related to electrical noise in nuclear
  instrumentation cabinets during surveillance testing, and one
  was caused by instrument drift in a reactor protection system
  bistable. Three trips were caused by personnel error or
  training deficiency. Two of those were caused by instrument
  mechanics and one was caused by a non-licensed operator. The
  remaining reactor trip was caused by a lightning strike.
  Reactor trips occurred at essentially the same rate as SALP 5,
  with similar rates for root cause of personnel error and
  equipment failures.    There were also two trip signals at 0%
  power, one for Unit I and one for Unit 2.
  There were 24 Engineered Safety Feature (ESF) actuations during
  this assessment period (excluding the reactor trip signals
  discussed above).    Five of these ESF actuations were due to
  containment purge isolation signals, five were actuations of
  one or more containment isolation valves, and four were
  automatic starts of penetration pressurization air compressors.
  In addition, six ESF actuations resulted from test activities,
  and were caused by switch malfunctions, operator errors, and
  procedural deficiencies. The licensee has complied with the
  requirements of 10 CFR 50.72, and has reported conservatively
  throughout the period.
  Of 24 licensee event reports (LERs) which involved the
  operations area, six involved inadequate procedures. The
  remainder were evenly split between procedural violations,
  technical knowledge deficiencies, communications errors, and
  personnel errors.
  The licensee routinely exhibited a conservative approach to
  safety issues as indicated by their response to the four
  unusual events which occurred during the assessment period.
  In these cases, operating mode reductions were initiated or
  made according to the technical situation, at the expense of
  production. In addition, reactor startups following trips
  were properly delayed until the licensee had completed a
  determination of root cause of reactor trips, actions to
  prevent recurrence, and correction of equipment problems.
  For example, following the reactor trip that was caused by
  a lightning strike, extensive testing was performed to
  determine which electrical components had been affected by
  the lightning.
  Operator response to plant transients and events was generally
  good. Detection of subtle changes in plant parameters led to
                            6
 
.
                                                                                l
.
            the discovery of the failure of the 1B main steam check valve.
            In addition, a leaky valve in the Unit 1 pressurizer spray line
            was promptly detected by a radwaste operator who had observed
            an increase in the frequency of cycles of the containment sump
            pump.  Several startups and shutdowns were observed by the
            resident inspectors. During these evolutions, procedural
            adherence, supervision, communications, and operator vigilance
            were very good.
            Control room behavior and conduct are addressed in detail in
            corporate and plant directives and procedures, which
            specifically prohibit sleeping, chronic lack of attentiveness,
            alcohol or drug use, practical jokes, and other distractions
            under penalty of disciplinary action including discharge. In
            addition, radios, televisions, and non professional reading
            materials are prohibited. Operator adherence to these
            procedures is excellent.    Operator's knowledge and awareness
            of plant status is also very good. Operating units routinely
            run with few alarm status lights. During the assessment period,
            there were long periods in which fewer than four alarms were
            illuminated for operating units. Plant management has also
            acted to minimize the amount of traffic and reduce the number
            of unnecessary personnel in the control room.
            Several management positions changed in September of 1985,
            including the Operating Assistant Superintendent, and Operating
            Engineers. Since that time, management turnover has stabilized
            with the exception of Shift Control Room Engineers (SCRE). Of
            9 SCREs, only 2 have been in that position for more than 18
            months. While no specific problems were identified, which
            were attributed to the low level of SCRE experience, this is
            considered an area of potential weakness.
            The operations department has initiated several actions to
            improve regulatory performance during the assessment period.
            These include enhancements to control room professionalism and
            appearance. One such action will be the remodeling of the
            control room center desk area in 1987, which should provide a
            better facility for shift management and control of access.
            The licensee also initiated a procedure improvement program.
            Aspects of this effort include contracted assistance to reduce
            the backlog of procedure changes needed for the near term, and
            contracted procedure development and revision assistance to
            incorporate human factors principles and INPO guidelines into
            all operating procedures. Operator involvement is also planned
            to ensure that procedures are " workable". Conduct of opera-
            tions improvements have included improved turnover, night
            order, and standing order procedures. Reviews are also planned
            for operator logs, the locked valve control program, and the
            conduct of operations policy. Plant labelling improvements
            have been in progress throughout the assessment period to
            ensure that valve and component labels are properly provided.
            A color coding scheme for the plant is also planned.
                                      7
  - _ ._,
          _    _
                                          _ - - _ - _ . - _ _ _ .          _ _,
 
            . _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ . _ _ _ - _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ - _ - _ __
  o
  .
      2.    Conclusion
            The licensee is rated Category 2 in this area. The licensee
              received a rating of Category 2 in the last assessment period.
      3.    Board Recommendations
              None
    B. Radiological Controls
      1.    Analysis
              Six inspections were performed during this assessment period by
              region based inspectors. The resident inspectors also reviewed
              portions of this area during routine inspections.
              One Severity Level IV violation was identified concerning
                failure to collect a reactor coolant sample for iodine analysis
              within the required time frame.
i
              The licensee's management involvement has generally been good
              with some exceptions. Audits are thorough and timely with
              good responsiveness to findings. The licensee's efforts to
!              improve worker adherence to station radiation protection
              procedures by increased identification of offenders and
                stronger disciplinary actions have been somewhat successful,
              although further effort is necessary based on NRC inspector
              observation of workers failing to properly frisk themselves
              when leaving contaminated areas.                                                                                                            Positive management control
                initiatives during this assessment period include the formation
              of a dry active waste (DAW) volume reduction committee,
                periodic meetings between the Radiation Protection Manager
                (RPM) and appropriate plant management, the auxiliary building
              cubicle contamination reduction program, a corporate directed
                secondary water chemistry control program, and various trending
                programs.                                                                                                            Several items, however, failed to receive timely
                and thorough licensee management attention, including
              development of compliance documentation for certain TMI
              Action Plan Items, resolution of the acceptability of the
                1983 modification and repair of the control room emergency
                air cleaning system, and laundry operational problems. The
                September 11, 1986, incident involving the inadvertent
                  intrusion of radioactive noble gas into the technical support
                center (TSC) and control room gas control envelopes also does
                not appear to have received appropriate management attention.
                The licensee did not recognize until late November that the
                TSC ventilation system apparently could not meet its design
                objective. A comprehensive program to investigate the
                technical and regulatory ramifications of the September 11,
                  1986, incident was not initiated until mid-December.
                                                                                                                                                  8
                                                                                                              _ _ _ _ _ _ _ _ _ _ _
 
  .
  .
    Licensee staffing performance during this assessment period
    has improved in some aspects and declined in others. The
    radiation / chemistry technician (RCT) staff has stabilized with
    a very low turnover rate; however, the turnover rate for the
    professional health physics staff has been high resulting in
    60% of the positions either vacant or filled with personnel
    who have very little operating plant experience. The staffing
    levels appear adequate, however, to perform the necessary
    work activities in this functional area. A persistent problem
    continues to exist in that the rotation of the RCTs between
    health physics and chemistry groups results in long periods
    of absence from the laboratory, which is conducive to a loss
    of laboratory proficiency, especially in the use of
    sophisticated analytical instrumentation.
    Licensee responses to NRC initiatives have generally been
    adequate.    Improvements were made in response to NRC identified
    weaknesses concerning radiological environmental monitoring
    program (REMP) management, liquid effluent alpha counting,
    degraded auxiliary building HVAC exhaust ductwork, in-situ
    calibration of containment high range radiation monitors, and
    management of 10 CFR 61 implementation. NRC concerns about
    inconsistencies between the REMP and the Offsite Dose
    Calculation Manual that carried over from the previous
    assessment period were largely resolved with implementation of
    the new Radiological Effluent Technical Specifications (RETS)
    in the fall of 1986. Although, as stated above, certain TMI
    Action Plan Items have remained unresolved for an extended
    period, significant progress regarding compliance documentation
    was made by the licensee near the end of the assessment period.
    The licensee's approach to resolution of radiological technical
    issues has generally been technically sound, thorough, and
    timely. The licensee has realized significant dose savings by
    establishing and diligently maintaining an effective ALARA
    program. The 1985 personnel exposures were about 550
    person-rems per reactor which is about 20% less than the
    licensee's average over the previous five years but 35%
    higher than the 1985 average for U.S. pressurized water
    reactors. The 1985 personnel exposure level was due mostly
    to extensive outage work on both units. The 1986 personnel
    exposures are expected to total approximately 250 person-rems
    per reactor. Noteworthy improvements implemented during this
    assessment period include the continual reduction of the
    contaminated floor area in the auxiliary building general
    access area, initiation of the cubicle contamination reduction
    program, and installation of new state-of-the-art whole body
    frisking units.    Problems identified during this assessment
    period include lack of finalization of procedures and plans
    for the use of the interim radwaste storage facility,
    correction of certain HVAC system design deficiencies, problems
    with implementation of dry active waste (DAW) compaction area
(
                              9
L
 
                                                                    1
.
.
    facility modifications, lack of procedures for segregation of
    " clean" DAW trash, and repetitive failures to meet technical
    specification monitor surveillance requirements.
    Radioactive gaseous effluents have remained about the same as
    the previous period, about 2000 curies annually per unit,
    reflecting the absence of any significant fuel cladding
    problems and only minor primary to secondary leakage. Two,
    minor, unplanned but monitored, gas releases resulted from a
    leaky valve and a faulty computer chip related to a gas
    analyzer associated with the water gas compressor. Appropriate
    and timely measures were taken to preclude further releases
    from these sources. Liquid effluents continued a generally
    decreasing trend which began about five years ago. About 2
    curies were released in liquid effluents in 1985 and about
    0.7 curies were released during the first half of 1986. The
    licensee continues to pursue an aggressive and effective solid
    radwaste reduction program; solid radwaste generated in 1986
    is expected to be about one-half and one-third that generated
    in 1985 and 1984, respectively. No licensee radwaste trans-
    portation problems were identified during this assessment
    period.
    Improvements in control of water quality were noted beginning
    in the second half of 1985. Trend plots of key chemistry
    variables showed that the plant was able to remain within
    administrative limits about 99% of the time. The licensee has
    adequate sampling capability on both the primary and secondary
    systems, but plans to improve on-line monitoring of chemistry
    variables in 1987.
    Laboratory QA/QC was considerably improved with better use
    of control charts for instrument performance data, testing
    of technician performance with blind duplicate samples, and
    participation in interlaboratory crosscheck programs for
    radiological analyses. The station has had problems in
    analyzing EPA environmental level radiological samples.
    This comparison program will be replaced by vendor supplied
    unknowns at concentrations more appropriate for station
    analyses. The station achieved 55 agreements in 60
    comparisons in the NRC confirmatory measurements program,
    a slight decline in performance from the previous assessment
    period. The licensee is taking appropriate corrective steps
    including recalibration of gas geometries and analyses of a
    spiked sample from the NRC reference laboratory.
  2. Conclusion
    The licensee is rated Category 2 in this area.    The licensee
    received a rating of Category 2 in the last assessment period.
                              10
 
                                                                                    _    -                        - ..                  -.
      .
      .
                                    3.  Board Recommendations
                                          None
                          C.        Maintenance
,
                                    1.  Analysis
                                          During the assessment period, eight inspections were performed
                                          by the resident inspectors in this functional area. This
                                          assessment was based on direct observation of plant modifica-
                                          tions, replacements, repairs, equipment overhauls, preventative
                                          maintenance, maintenance organization and administration, and
                                          response to events related to maintenance.
'
*
                                          Two Severity Level IV violations were identified in this area.
                                          One violation resulted when the level in the containment spray
                                          additive (Na0H) tank fell below the minimum required because
                                          calibration procedures did not contain appropriate acceptance
                                          criteria.                  Procedure revisions corrected the problem. The
>
                                          other. violation was cited for two examples where plant workers
'
                                          manipulated plant equipment without procedures and thereby
                                          defeated the system design. In one case this resulted in a
                                          reactor trip when a turbine pressure transmitter was isolated.
                                          Eight violations were identified during the previous assessment
                                          period, most of which were related to Instrument Mechanic
3                                        (IM) or Mechanical Maintenance (MM) procedures or procedure
i                                        adherence.                      Revisions to all safety related IM pincedures,
                                          begun during the previous assessment period, were completed
4
                                          and incorporated more detailed work instructions, cautions,
*
                                          and independent verifications of return-to-service valve and
                                          switch lineups. These revisions, combined with improved IM
                                          performance have significantly reduced the number of IM related
.
                                          events.
!
                                          Of 34 LERs related to maintenance activities, 18 were caused
                                          by equipment failures and 7 were caused by personnel errors.
,
'
                                          The remainder were due to instrument drift (4), installation
                                          not meeting the design (3), and inadequate procedures or
;                                        design (2 each).
                                          About 25 new MM procedures were written during the assessment
                                          period, although this effort has been done on a spare time
                                          basis. Late in the assessment period, a contract was prepared
                                          to provide assistance in writing and revising MM procedures.
                                          The need for improved MM procedures was highlighted in
                                          October 1986, when the IB diesel generator (DG) threw a piston
:                                        connecting rod through the crankcase wall during a post
j                                        maintenance run.                      The maintenance performed involved removal
,                                        of the affected piston and cylinder liner. The procedure used
i                                        was inadequate to prevent improper tcrquing of the connecting
i                                        rod lower bolts, and the DG failure resulted.
,                                                                                    11
!
,
  y .  ,,3-- .-- - ,, m,v.--,.,---      ,-,-%  -r.,-.,,,-..,io.,u.-mmm.-%            ..,em,-.._e,-m- ,.- --. , - -.---w.-- - -mm.. - , - , . - - - - , - - - . - - , -. . - , -
 
    __        _ _ _ _
                      - __                                        ___
                                                                            -_                _-
  .
  4
            Maintenance staffing levels are generally adequate, however,
            additional personnel appear needed to provide planning and
            coordination of work activities, and to write procedures and                              l
            work packages. Also, new demands on staff time for performing
            more detailed work instructions and requalification training                              l
            may impact the staff's ability to keep pace with work request.
            Maintenance personnel, including management, are well trained
            and adherence to procedures is generally good.
            The backlog of maintenance work requests has varied depending
            upon whether an outage is in progress, but was generally large
            during the assessment period. This backlog, which includes
            safety related and nonsafety-related modification and
            preventive maintenance work requests, peaked at about 3250.
            Equipment availability for safety related equipment was very
            good, as indicated by relatively few entries into the Technical
            Specifications (TS) limiting conditions for operation (LCO)
            involving plant shutdown. Resolution of equipment operability
            issues was typically handled on a technical basis, and
            resolution involved appropriate consideration for safety.
            Examples included repairs to plant equipment following the
            July 1986, reactor trip due to lightning and the actions
            taken following the failure of the 18 main steam check valve.
            Equipment availability for some non-safety related plant
            systems needs considerable improvement.                                Examples include
            radiation monitors and recorders (including SPINGS, which are
            the particulate / iodine / noble gas monitors), and instrument
            air compressors. About half of the maintenance related LERs
            reviewed involved equipment failures as causes or contributors
l
            to the events.
            A formal preventive maintenance program still does not exist;
!          however, many preventive maintenance activities do take place.
            These include the development of an extensive vibration
            monitort,a program, the use of oil samples to determine the
l          need for bearing replacement, and inspections and rebuilding
i
            of many plant components including safety valves, snubbers,
            ISI hangers, circuit breakers, and environmentally qualified
            (EQ) components.                                Positive effects of these activities are
            exhibited by the few shutdowns / reactor trips due to equipment
            failures.
      2.  Conclusion
            The licensee is rated Category 2 in this area. The licensee
            received a rating of Category 2 in the last assessment period.
      3.  Board Recommendations
            None
                                                                  12
          -                - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
 
      _ _ _ _ _ _ _ _ - _ _ _ _
  .
  .
    D. Surveillance
      1.                        Analysis
                                During the assessment period, eight inspections were performed
                                by the resident inspectors in this functional area. This
                                assessment was based on direct observation of surveillance
                                activities, and review of surveillance procedures and
                                surveillance scheduling. Examination of this functional
                                area also consisted of three inspections by regional based
                                inspectors to examine activities as they relate to snubber
                                inservice inspection and the resolution of unresolved items
                                and IE Bulletins.
                                One event resulted in two Severity Level IV violations
                                during the assessment period. In this event, a control
                                room ventilation system HEPA filter was replaced without
                                the post-installation efficiency testing as required by the
                                Technical Specifications. Appropriate corrective actions
i
                                were implemented.
                                Management of surveillances improved during the period.
                                LER data indicate that 7 missed surveillances occurred
                                during the assessment period (14 months) compared to 15
                                during SALP 5 (17 months). In addition, 6 of 24 ESF
                                actuations occurred during surveillance testing. Two of
                                these were caused by personnel error, 2 by procedure
                                deficiency, and 2 by component failures during tests.
                                In response to NRC concerns expressed in SALP 5, the licensee
                                developed an action plan to reduce the number of missed
                                non periodic surveillances. These actions included:
                                -
                                        Establishment of a master surveillance plan which would
                                        computerize routine surveillances (monthly or less
                                        frequent). This action is not yet complete.
                                -
                                        Development of an "Off-normal / Transient Surveillance
                                        Manual" (ZAP 10-52-1A, effective December 23, 1986) as
                                        a guide to operators when changing mode or reactor power,
                                        or when information is needed to supplement the Technical
                                        Specifications.
                                Two examples of missed surveillances occurred following
                                  implementation of the Radiological Environmental Technical
                                Specifications (RETS) on September 24, 1986. The RETS involved
                                numerous changes to surveillances on plant radiological
                                  instrumentation and to sampling requirements. The licensed
                                received the RETS approximately 6 months prior to the
                                September 24 implementation date to provide adequate time
                                  for review and development of necessary procedure changes.
                                Oversights during the review process resulted in missed
                                                          13
                                                        .
                                                              ..                _ _ _ _ _ _ __ _
 
                _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _
  .
  .                                                                                                    ..
            surveillances on the TSC portable area monitor discovered
            October 5, 1986, and in failure to take containment iodine
            samples shiftly during Unit 2 containment vents on October 7,
            1986.
            Surveillance procedures reviewed during the period were
            generally adequate, and technically correct. Individuals
            performing surveillances adhered to procedures. At the end
            of the assessment period, the licensee contracted for a
            major rewrite of operating procedures which was to include
            performance tests. This action should provide improved
            uniformity in format, and incorporate INPO procedure guidelines.
            The inspectors determined that snubber inservice inspection
            records were generally complete, well maintained and
            available. The licensee's responsiveness to the IE Bulletins
            was timely, viable, and generally sound and thorough.
      2.  Conclusion
            The licensee is rated Category 2 in this area. The licensee
            received a rating of Category 2 during the last SALP period.
      3.  Board Recommendations
            None
    E. Fire Protection
      1.  Analysis
            Fire protection activities were observed during routine
            resident inspections, and during followup of liceasee event
            reports (LERS).
l
l          One Severity Level IV violation was issued involving
'
            inattentive fire watches.
            Fourteen LERs were issued regarding fire protection. Eleven
            of these were for inoperable or degraded fire barriers and
            dampers. Some of the degraded barriers were identified during
            quality assurance audits. Several of the inoperable dampers
            were the result of inadequate knowledge of the damper design,
            which rendered the dampers inoperable when the dampers were
            removed from service for maintenance. The number of LERs
            involving fire protection is considered too high and warrants
            increased management attention.
            Management attention to the posting of fire watches needed
            improvement. In addition to the violation mentioned above,
            there were two instances of fire watches required by Technical
            Specifications that were not properly posted. One watch was
                                                      14
                                                          _--___ - _____- _ -___-__ _ _ __ . _ _ _ _ _
 
      _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
.
.
    secured too early, and another was not posted for two hoa-s
    due to a scheduling oversight. Interviews with fire watetes
    also indicated the need for better directions and more specific
    delineation of the requirements of the watch.
    The fire protection staff consists of a Unit 1 operating
    engineer assigned responsibility for implementing the fire
    protection program, a Fire Marshal, and an additional
    operations person assigned to do fire protection surveillances
    under the direction of the Fire Marshal. Staffing is generally
    adequate with weaknesses as evidenced by the fire damper and
    fire watch reportable events.
    Fire brigade training and the qualifications of fire brigade
    members were good.
    As reported in SALP 5, the licensee continues to be in
    violation of the scheduler requirements of 10 CFR 50, Appendix
    R, regarding fire protection modifications. During SALP 6,
    the licensee resubmitted their plan to comply with Appendix
    R.                    The licensee's plan is currently under review by NRR.
    Housekeeping improved dramatically over the assessment period.
    The auxiliary and fuel building walls were painted, and decks
    were repainted. Tools and materials (such as scaffolding
    materials and ladders) were inventoried and placed in dedicated
    storage areas. Goals for outage and non-outage contaminated
    areas were lowered, and the licensee plans to decontaminate
    auxiliary building pump cubicles and release them for general
    access.                                                        Leaks in the auxiliary building were generally
    controlled, although some chronic service water leaks still
    per.tst.
    Painting in the turbine building was in progress by the end of
    the assessment period.                                                                      Painting included components, such as
    turbines, pumps and valves, as well as walls, and general
    areas. Tb? painting also included switchgear rooms and will
    include diesel generators (DG) and DG rooms.
    The units will be color coded, as will be certain process
    pipes. Felt tip marker component labelling is being replaced
    with engraved gravel ply labels. Metal valve identification
    tags are also being added or replaced.
    Housekeeping improvements have had a high management pricrity
    during the assessment period, and as indiceted by the station
    goals, this will continue into 1987.
  2. Conclusion
    The licensee is rated Category 2 in this area. The licensee
    received a rating of Category 2 in the last assessment period.
                                                                                                15
                                                                        _ _ _ - _ _ _ _ _ _ _ _
 
  .
  .
      3.  Board Recommendations
          None
    F. Emergency Preparedness
      1.  Analysis
          Two inspections were conducted during the period. These
            included the observation of the unannounced, 1986 emergency
            preparedness exercise and a routine inspection.
          Management involvement and control in assuring quality has
            generally been adequate. Independent audits of the program
          were adequate in scope, depth, and frequency. Four
            surveillances were conducted during the twelve month period
            ending in March 1986, which is a greater number than required
            by departmental instructions. Surveillance topics included
            the annual exercise, a drill, and the licensee's response to
            an actual emergency plan activation.                      However, the auditor
            findings regarding the exercise and drill exhibited a lack
            of emergency preparedness expertise when compared to the
            findings of the licensee's specialists who also observed
            those activities. Records of all quality assurance audits
            and surveillances were complete and readily available, as
          were records of emergency supplies inventories. However,
            there were inadequate provisions for promptly replenishing
            missing or depleted items identified during these periodic
            inventories.
            Between July 1985 and March 1986, the licensee activated the
            emergency plan on four occasions. All situations were
            properly classified. Required offsite notifications were
            completed in an acceptable manner. While the station's
            emergency planning coordinator independently evaluated the
            records associated with each event, these evaluations varied
            in quality and did not always identify problems later
            identified by the inspectors.    In contrast, the coordinator
j
'
            maintained adequately detailed records of emergency prepared-
            ness drills, including any corrective actions taken.
            The licensee's responsiveness to NRC concerns has generally
            been acceptable and timely. A notable long-standing
            regulatory issue attributable to the licensee has been a
            major revision to the Station's Emergency Action Levels
            (EALs). The licensee's corrective action approach, was sound
            and thorough. However, several time extensions were granted
            before the revised EALs were finally submitted for staff
            review.
            As evidenced by walkthroughs and player performances during
            the exercise, the licensee has maintained an adequate training
            program for members of the onsite emergency organization.
                                    16
                  _ -- .                          _ _ _ _ _ _ _ _ .
 
O
'
                                                                          4
          However, Training Department staff were unable to produce
          documentation that all director-level personnel had been
          trained during 1985 on all relevant emergency plan implementing
          procedures in addition to the standardized training modules.
          Although simulator training had supposedly included emergency
          preparedness decisionmaking, no formal records of this aspect
          of emergency preparedness training were maintained. The
          licensee has committed to resolve both training documentation
          omissions.
          The licensee has maintained a prioritized roster of qualified
          personnel to fill well-defined, key positions in the onsite
          emergency organization. The licensee has demonstrated the
          capability of augmenting onshift personnel in a timely manner
          by conducting semiannual off-hours drills.
          Corporate emergency planning staff has interfaced with the
          station on the annual exercise, certain drills, and on
          revisions to the emergency plan. Corporate staff has taken
          the lead role in frequently interfacing with State and Federal
          agencies in the ongoing major planning effort associated
          with the 1987 Full Field Exercise. During 1986, corporate
          management and staff were responsive to a Kenosha County
          official's concern regarding issuance of potassium iodide
          to the general public. The licensee met with State and local
          officials to resolve the concern. The licensee also adequately
          interfaced with Illinois State and local officials in resolving
          the concerns of the owner of an Emergency Broadcast Station.
    2.  Conclusion
          The licensee is rated Category 2 in this area. The licensee
          received a rating of Category 2 in the last assessment period.
    3.  Board Recommendations
          None
  G. Security
    1.  Analysis
          Three security inspections (two routine and one special) were
          conducted by regional inspectors during the assessment period.
          Reduced inspection effort was the result of the licensee
          being rated a Category 1 during the SALP 5 period. Two
          allegations were received at the beginning of the period.
          The allegations involved personnel access control and security
          force performance issues and were determined to be unfounded.
          One Severity Level IV violation was identified during the
          assessment period. It involved a degradation of a vital area
          barrier that did not, however, result in an easily exploited
                                  17
 
.
.
  access path. The licensee took prompt and extensive corrective
  action which led to the immediate identification and correction
  of an identical second breach. The events were reported within
  the required time frame. The expeditious manner in which the
  barrier degradation was analyzed and corrected was indicative
  of an effective security program.
  Licensee management's role in assuring quality was clearly
  evident as demonstrated in the following examples. The shore
  protection project which should prevent future damage to the
  Protected Area (PA) intrusion detection system, involved a
  concerted effort among the licensee's corporate security
  director, the plant manager and the site security adminis-
  trator.    Considerable management effort was expended in
  researching, planning and designing an appropriate solution.
  The licensee's PA intrusion detection system continues to be
  one of the more effective systems within Region III.
  Additionally, the transition from one site security force
  contractor to another during the period was smooth and without
  impediments. The transition was clearly indicative of prior
  planning.
  With one exception, technical security issues were resolved
  in a timely manner. The licensee's actions implemented as a
  result of the identified Vital Area breach were the result
  of a conservative approach in the analysis of the event's
  significance. The corrective action taken was expeditious,
  technically sound, and very thorough. There was only one
  issue that was not resolved in the licensee's usually
  consistent manner. Compensatory measures for a failed closed
  circuit television camera observing the PA perimeter were not
  addressed with a conservative approach; however, the licensee
  does satisfy applicable security plan commitments.
  Events reported in accordance with 10 CFR 73.71 were properly
  identified and analyzed and were reported in a timely manner.
  Timely and accurate reporting demonstrated excellent knowledge
  of regulatory requirements and security commitments on the
  part of the security force and also a comprehensive reporting
  policy and comprehensive procedures.
  The licensee has identified positions within the security
  organization which are well defined and which possess the
  appropriate level of responsibility. Key positions are filled
  on a priority basis. The recent change of the site security
  force contractor demonstrated the licensee's ability to
  maintain a high level of performance during transition,
  highlighting its dedication to a quality program.
  During the most recent inspection, the NRC noted that some
  central alarm station and secondary alarm station (CAS/SAS)
  operators are sometimes required to work 16-hour shifts because
                          18
 
                          .
O
O                                                                        i
          their relief was not available. Some of the forced overtime
          was caused by the unanticipated departure of two supervisory
          personnel. The licensee was aware of the problem and had
          initiated a cross-training program to ensure that qualified
          personnel are available on each shift to perform CAS/SAS duties
          in the event of an operator's unplanned absence. The initiative
          should significantly reduce the frequency of 16-hour shifts by
          CAS/SAS operators.
          The training and qualification program is effective. Although
          the program was not directly reviewed during the assessment
          period, the lack of any significant security force personnel
          errors and the sustained superior security force performance
          were demonstrative of an effective training program. Training
          inadequacies were not identified as the root cause of any
          security event and, when questioned, security force personnel
          were knowledgeable of security plan commitments and security
          procedures.
          During the assessment period, the morale of the security
          force improved notably due, in part, to licensee management
          initiatives to improve communications within the security
          organization. Improved morale represents another enhancement
          to a quality security program.
    2.  Conclusion
          The licensee is rated Category 1 in this area. The licensee
          received a rating of Category 1 in the last assessment period.
    3.  Board Recommendations
          None
  H. Outages
    1.  Analysis
          Examination of this functional area consisted of routine
          observations by resident inspectors during LER followup and
          attendance at station meetings, as well as inspections by
          regional based inspectors to examine activities as they
          relate to inservice inspection (ISI) of piping system
          components, steam generator sludge lancing, diesel generator
          repair, and startup refueling testing.
          One violation (Severity Level IV) was issued involving the use
          of uncontrolled drawings by the Station Electrical Engineering
          Department during the development of a modification to the
          4160 volt ESF bus breaker interlocks. Another Severity Level
          V violation was identified in this functional area concerning
          physics testing and is discussed later in this section.
                                  19
 
                  . ._          -        ____--                                              -_              -___
.
      . . . .
  .
  .
              Another event involving modifications indicated the need to
              provide better drawing detail to installers.
              Outage planning is coordinated by a central outage planning
              group under the direction of the Assistant Station
              Superintendent, Outages.    This individual is one of the most
              experiented personnel at the station, having been in the
              operating department since before initial criticality.
              Outage schedules are developed using a computer program,
              and schedules are updated weekly.
              During the assessment period, station meeting routine was
              changed to add a 7:00 a.m. morning meeting between repre-
              sentatives of working groups to review and coordinate work
              activities.    The 8:15 a.m. morning management meeting format
              was also changed to give greater detail on station work,
              emphasizing each group's priorities of the day. In the
              afternoon, another meeting is held to plan future work.
              These meetings have been very beneficial to the flow of
              information at the station.
              Outage planning is done continuously using 6 month and 3 month
              goals. The basic refueling sequence is " pre-set" in the
              computer code and other jobs are added where they fit best
              in the schedule. After an outage schedule is developed,
              daily meetings described above are used as a means to
              coordinate work and adjust the schedule as needed. Near
              the end of the outage, lists are generated for certain key
              milestones, such as drawing a pressurizer bubble. Onsite
              reviews are performed prior to leaving cold shutdown.
              Outage management for the July 1986, Unit 2 outage caused by a
              lightning strike showed a very good approach to the resolution
              of technical issues from a safety standpoint. During that
              outage, a thorough review of instrumentation which could have
              been affected by the lightning strike was conducted. Testing
              to verify instrument operability was also conservative.
              Management controls as indicated by outage related procedures
              were generally adequate, although some deficiencies in
              Maintenance Instructions (MI) and General Operating Procedures
              (GOP) were identified. Minor ISI deficencies were also
              identified in two LERs, and a defective hydrostatic test
              procedure lead to the inoperability of the 18 auxiliary
              feedwater pump in December 1985.                                        Procedures for the outage
              planning group have not been developed because corporate
              guidelines have not been issued.
              For the ISI areas examined, the inspectors determined that
              the activities had received prior planning and priorities
              had been assigned. Activities were controlled through the
              use of well stated and defined procedures. Observation of
    4
                                        20
                                                  _ _ _ _ _ _ _ _ _ - - - _ _ _ _ _ .
 
                                                                                                      l'
  .
  .
                      ISI activities, sludge lancing, and repair welding indicate
                      that personnel have an adequate understanding of work
                      practices and that procedures were followed. Records were
                      found to be generally complete, well maintained, and available.
                      The records also indicate that equipment and material
                      certifications were current, complete, and that the personnel
                      performing nondestructive examinations and repair welding
                      were certified. Discussions with personnel performing
                      nondestructive examinations indicate that they were knowledge-
                      able in their work activities.
                      Refueling activities were performed without incident during
                      the assessment period. Refueling activities are performed by
                      a stable, well trained, group of fuel handlers. Replacement
                      of control rod guide tube, split pins, was also performed
                      without incident and ahead of schedule.
                      One inspection of core performance surveillance testing
                      following startup from a refueling outage was performed by.a
                      region-based inspector. The inspection included verification
                      that test results conformed with Technical Specifications and
                      procedure requirements and that any deficiencies identified
                      during the testing were properly reviewed and resolved. One
                      Severity Level V violation was identified concerning physics
                      testing at zero power, where testing was not performed in
                      accordance with written test procedures in that certain
4                    procedure steps were not signed-off or performed before
                      proceeding to subsequent procedure steps. This violation had
                      minimal safety significance. However, similar problems in
'
                      controlling compliance to procedures and adequately reviewing
                      completed test results were documented in the SALP 5 assessment.
                      Although these problems had only minimal safety significance,
.                    the fact that they were repetitive indicates the need for
t
                      management attention to ensure that corrections prevent
                      recurrence.
                      During this assessment period, nuclear group staffing
                      adjustments were proposed and implemented; the resulting
                      level of staff in the nuclear group appears to be adequate.
                  2. Conclusion
                      The licensee is rated Category 1 in this are.. The licensee
                      was rated a Category 1 in Refueling during the last SALP
                      period.
                  3. Board Recommendations
                      None
                                              21
  -
    --- _ - - . -                - . - .- - .    .                        ,
                                                                                _
                                                                                    - _ - - - _ . _
                                                                                                    ,
 
                                _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
  .
  .
    I. Quality Programs and Administrative Controls Affecting Quality
      1.  Analysis
            Examination of this functional area consisted of routine
            inspections by the resident inspectors, and of one limited
            scope inspection by a region based inspector. In addition,
            an inspection of implementation of a program for preventing
            overpressure transients was performed by a headquarters
            inspector.
            Two Severity Level IV violations were identified:                                                                                                            (1) failure
            to take adequate corrective actions following a loss of decay
            heat removal event and (2) negative flux rate reactor trip
            setpoints set incorrectly. This is a substantial improvement
            from the previous assessment period when seven Severity Level
            IV violations were identified.
            An NRC headquarters inspection regarding overpressure
            transients identified two incorrect assumptions in the
            licensee's original calculations, however, the licensee
            provided corrected data which demonstrated an adequate
            design. The approach to resolution of technical issues
            from a safety standpoint and responsiveness to NRC
            initiatives was found satisfactory. The attitude and
            system knowledge of the people encountered during the
            inspection were excellent.
            Sixteen out of 27 LERs which applied to this functional area
            involved deficient procedures (14), lack of a procedure (1),
            or drawings not showing sufficient detail (1). The licensee
            has contracted for total rewriting of operating department
            procedures (pts and GOPs) and has also contracted for
            assistance in writing maintenance department procedures.
            These actions should reduce the number of events due to
            deficient procedures.
            The station goals program is well developed, and effectively
            run. General goals are formulated by management, and specific
            goals are developed by working groups. Quarterly goals reviews
            are conducted. Approximately 161 out of 215 goals were
            achieved during the assessment period. Safety and regulatory
            goals are included in the program.
l
'
            At the beginning of the assessment period, Zion had been in a
            Regulatory Perfcrmance Improvement Program (RPIP). Because
            of improved performance, regular RPIP meetings with Region III
            management were terminated on February 20, 1986.
            Corrective action system documents, such as LERs and Deviation
            Reports (DVRs), have improved during the assessment period.
            In the past, root cause evaluations had occasionally lacked
            detail, or had missed one or more contributors to events.                                                                                                                ,
            In addition, corrective act!ons to prevent recurrence were
                                                              22
                    ____                                                                              _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
 
  .
  .
                    sometimes minimal or not addressed for one or more event
                    contributors. These concerns were expressed to licensee
                    management in October 1985. As part of an action plan to
                    improve LER/DVR quality, administrative procedures for LERs
                    and DVRs were revised and training was conducted for LER/DVR
                    writers and reviewers. LER/DVR quality has improved
                    substantially during the assessment period.
                    The site quality assurance (QA) department was well staffed by
                    qualified engineers and auditors. The group is effectively
                    managed, and has implemented several new audit methods.                  For
                    example, the group conducted a safety system functional
                    inspection of safety related portions of the CVCS system.
                    The inspection involved four auditors and was effective,
                    resulting in five findings and three observations. The site
                    QA group was also trained on aspects of fire protection which
                    they had not previously audited (fire barriers) and made several
                    findings of non-functional fire barriers (see section IV.E).
                    Management involvement in site quality assurrance has been
                    good. The licensee periodically reviewed the overall
                    effectiveness of the quality assurance program and assured
                    that personnel received timely training about changes made
                    to commitments in Technical Specifications, the QA Topical
                    Report, and the corporate QA manual.      Response to NRC
                                                                                                    -
                    identified issues in the area of Technical Specification
                    calibration testing was timely and thorough.
                    Management and corporate involvement needed improvement in
                    the area of Technical Specifications (TS) review and
                    implementation:
                    a.    The negative flux rate reactor trip (NFRT) setpoints
                          were found to have been set nonconservatively for
                          several years,
                    b.    Figure 3.2-9, the normalized Fq (Z) operating envelope
                          (K(2) curve) was found to be incorrect.
                    c.    Changes to TSs were not properly translated into
                          procedures, which led to radiation monitor surveillances
                          being missed.
1
                    Items a and b involved old errors which the licensee had an
                    opportunity to detect and failed to do so, and c involved
                    inadequate review and implementation of a new TS. In the
                    past, changes to reactor containment fan coolers (RCFCs),
                    which made previously required surveillances both unnecessary
                    and impossible to perform were done without prior NRC approval.
                    10 CFR 50.59 states that prior NRC approval must be obtained
                    for plant changes which involve changes to the TS. In other
                    cases, TSs are difficult to interpret.
                                                          23
    _ _ _ _ _ _ _ _        _ _ _. , _ _ _ _ _ _ _ _ _ _ _                  _ _ _ _ - - _ - -    _
 
    _ _ _ _ _ _ _ _ _ _ _
.
.
            2.            Conclusion
                          The licensee is rated Category 2 in this area. The licensee
                          received a rated of Category 2 in the last assessment period.
              3.          Board Recommendations
                          None
  J.            Licensing Activities
                  1.      Analysis
                          During this assessment period, licensee management actively
                          participated in resolution of the various licensing issues
                          and kept abreast of current and anticipated licensing actions.
                          The submittal of only one request for emergency action during
                          the assessment period demonstrates foresight and advance
                          management attention to important safety issues.
                          The Regulatory Performance Improvement Program (RPIP)
                          additionally shows licensee management's dedication to
                          assuring safety.  From the licensing perspective, this has
                          resulted in increasing pride in individual workmanship, and
                          increasing the desire for professional excellence.
                          Management involvement was particularly evident in closure of
                          several multiplant actions and attention given to important
                          issues. Licensee mid-management personnel frequently visited
                          the NRR Project Manager to inquire whether NRC licensing needs
                          were being met, both in substance and schedules.
                          The licensee maintained close control over licensing action
                          schedules and either met the originally established dates or
                          obtained timely acceptance of revisions.
                          The licensee demonstrated a thorough understanding and
                          appreciation of the technical issues involved and consistently
                          exhibited conservatism in analyses and proposed resolutions.
                          Rarely was there a need for requests for additional informa-
                          tion, and when such were sent, the response was timely and
                          technically sound. The licensee maintains a significant
                          technical capability in all the engineering and scientific
                          disciplines necessary to resolve items of concern to the NRC
                          and the licensee. In addition the licensee utilizes the
                            services of other nuclear support groups to assist in the
                          resolution of technical problems or to implement new and
                          proven techniques that will enhance the operation and safety
                          of the plant.
                          The completed multiplant actions listed in Section V.H.6
                          demonstrate the licensee's sound technical resolution of
                                                    24
                                                      _ _ _ _ _ _ _ __ _ _ __ ___
 
  .
  .
    complex prom ems involving plant safety and plant operation,
    with appropriate attention given to regulatory concerns.
    The licensee was responsive to NRC initiatives in almost all
    instances. Routinely, technically sound and workable
    resolutions were proposed. Priority safety reviews and
    responses were given prompt attention. The responses have
    been thorough and sufficiently detailed to permit complete
    review with little need for further interaction with the
    licensee.
    The licensee maintains open and effective communications
    between NRC and its own licensing staffs. Almost daily
    telephone contacts resulted in close cooperation between
    licensee and NRR licensing personnel.
    The licensee consistently has sent advance copies of submittals
    by the overnight express service and, when urgent matters were
    involved telecopied them to the Division of Licensing the same
    day. Periodically, the Zion Licensing Administrator reported
    on the progress of the various commitments to NRC.
    To ensure even greater responsiveness to NRC initiatives, the
    licensee has a dedicated, full-time coordinator to respond to
    and track requirements from Generic Letters.
    The licensee has been particularly responsive to NRC's requests
    to assist or participate in special studies and surveys,
    including visits to the station by NRC staff and contractors.
    On such occasions, the licensee consistently made available
    their most knowledgeable individuals to assist NRC visitors.
    The corporate Zion licensing and engineering staffing is
    ample and any vacancies were promptly filled with qualified
    individuals. This resulted in no backlog of overdue licensing
    actions and in prompt, timely processing of current actions.
    The licensee maintains a competent licensing and engineering
    staff to ensure technically sound and timely responses to NRC
    requests.    In addition to the engineering staff at the Zion
    station, licensee maintains a Station Nuclear Engineering
    Department in its corporate offices where a group of more
    than ten engineers, dedicated exclusively to Zion, provides
    engineering support to licensing activities and the station.
    The corporate engineering support staff is expanding by the
    addition of another department of Nuclear Fuel Services,
    which is currently preparing to assume the responsibility
    for performing the reload safety analysis for Zion Station.
    The licensing staff consists of highly trained, qualified and
    experienced individuals.    For example, both the Zion Licensing
1
                              25
 
                                          ___                    - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - -
, _ . . . . . _ . . . . .
i
          .
          .
!                                Administrator and the head of the Station Nuclear Engineerir.)
                                  Department maintain current Senior Reactor Operator licenses.
                                  Both individuals have spent several years at the Zion station
                                  holding various responsible positions. The Licensing
                                  Administrator, before his current assignment, headed the
                                  training department at Zion station. In addition to
                                  appointing highly trained individuals to the licensing
                                  division, the licensee assures their continuing qualification
                                  by providing additional training.
                            2.  Conclusion
                                  The licensee is rated Category 1 in this area. The licensee
                                  received a rating of Category 1 in the last assessment period.
                            3.  Board Recommendations
                                  None
                          K. Training and Qualification Effectiveness
                            1.  Analysis
                                  Resident and regional inspectors have evaluated training and
                                  qualification effectiveness during inspection of specific
                                  program areas. In addition, an inspection was conducted to
                                  evaluate the effectiveness of the licensee's licensed and
                                  non-licensed personnel training programs.                                                          No violations were
                                  identified.
                                  During inspections of licensee activities, personnel were
                                  found knowledgeable and effective in implementing their
                                  duties. Training appeared to be well planned and adequately
                                  presented.    In cases where abnormal incidents had occurred
                                  at the plant, the licensee prepared a Deviation Report (DR)
                                  which was subsequently used to evaluate whether personnel
                                  error contributed to the event. In cases where it did,
                                  the licensee also evaluated the cause of the personnel error
                                  including an assessment of whether the training program had
                                  been effective or could have contributed to the cause of the
                                  event. Of seven reactor trips in this assessment period,
                                  three were related to personnel errors and possible training
                                  deficiencies. In all cases, completed DRs were forwarded to
                                  the Training Department for independent evaluation to determine
                                  if the formal training program could be improved to prevent
                                  recurrence of the incident.                                                                                                                l
                                  The licensee's formal training program for operations personnel
                                  had been accredited by INP0. Instructors were required to
                                  participate in the Company's Supervisor on Shif t (SOS) program.
                                  There was a good feedback path between operations and training.
                                  Operators were aware of the opportunities to provide suggestions
                                                          26
                                                                                                                                                      _______-_______ ______
 
.
.
  for future modifications to the training programs. The
  training department activities were guided by procedures that
  implemented a well defined licensed operator program.
  Inadequate training could only rarely be traced as a probable
  cause of events occurring during this rating period.
  The licensee's training program provided a means of
  disseminating information related to operating deficiencies
  and events to licensed operators. The Training Department
  issued and controlled the required reading program and
  incorporated lessons learned from past events into the
  classroom training topics.
  Required reading was distributed to all Zion licensed
  individuals, non-licensed operators, radwaste foremen,
  training staff, NRC operator license candidates, and
  maintenance training coordinators.
  Early in the assessment period, the NRC administered
  replacement examinations to seven senior reactor operator
  (SRO) candidates. Four passed and three failed. The three
  who failed did so because they each failed the simulator
  examination. These simulator failures could, in part be
  attributed to the plant training department's unfamiliarity
  with the new symptomatic emergency procedures which had
  recently been introduced at Zion. Because these new emergency
  procedures addressed more complex emergencies than the old
  emergency procedures, the simulator scenarios used in the
  examinations were required to be more complex as well. The
  training department trained their candidates to handle
  simulator scenarios which were adequate for the old emergency
  procedures. The training department acknowledged that the
  candidates should have been trained more thoroughly in complex
  scenarios which the new emergency procedures are designed to
  address.
  The number of replacement examinations administered in the
  period was too small to make any meaningful comparison with
  the national pass rate average. It can be stated that all
  candidates did pass an examination within the assessment
  period.
  Additionally, the NRC administered a requalification
  examination to eight SR0's and four reactor operators (RO's)
  in October 1986.    Of the eight SRO's tested, seven passed
  as well as the four R0's tested, resulting in a pass rate of
  91.7%, which is above the national average.
  The problem noted earlier concerning the inability of many
  operators to properly use the new emergency procedures to
  handle complex simulator scenarios was not evident during the
  requalification exam, which indicates that this problem has
  been properly corrected.
                          27
 
  .
  e
                The facility has been cooperative with the NRC throughout the
                assessment period, except for the licensee's initial reluctance
                to supply' the Standing Orders to be used as exam reference
                material.
                For the maintenance groups, the training program was well
                defined and implemented with dedicated resources. Inadequate
                training could only rarely be traced as part of the cause of
                events occurring during this rating period.        The maintenance
                on-the-job training (0JT) program was directed toward the
                application of previously taught knowledge and skills to
                maintain plant equipment. The Maintenance Training Program
                will be used to ensure that mechanics who have not received
                training or have not previously worked on a system will not
                be assigned to jobs on that system unless they are accompanied
                by a foreman or mechanic with training on the system. There
                was a good feedback path from maintenance to the training
                department, with pertinent items being factored into the
                training program. Maintenance personnel were aware of their
                opportunities to input suggestions for revisions to the
                training program. The Training Coordinators understood their
                training procedures and were implementing a well defined
                maintenance training program.
                The licensee has begun a two-week radiation / chemistry
                technician annual requalification training program involving
                the use of new instrumer,ts as well as discussion on health
                physics topics. In addition, the chemistry staff has received
                a pilot training program on water chemistry control, in
                response to a corporate directive on this subject, to alert
                personnel of the significance of maintaining good water
                chemistry for long-term plant reliability.
                Seven training programs (Shift Technical Advisor, Instrument
                Maintenance, Electrical Maintenance, Mechanical Maintenance,
                Radiation Protection, Chemistry, and Technical) have been
                submitted to INPO for accreditation.    Full accreditation is
                expected by the Fall of 1987.
                In cases where the NRC recommended improvements to the training
                program, the licensee was very responsive in addressing the NRC
                concerns.
              2. Conclusion
                The licensee is rated Category 1 in this area. This area was
                not rated in the last assessment oeriod, because this is a new
                functional area.
              3. Board Recommendations
.                None
                                                      28
l
    - - _ _ -      . _    . - - . . - - - - . _ _ _    _ _ - _ - _      - - ._ _. . - ___
 
.
  .
  o
    V. SUPPORTING DATA AND SUMMARIES
        A.  Licensee Activities
            1.  Unit 1
                  Zion Unit 1, began the assessment period in routine power
                  operation and ended the assessment period in a refueling
                  outage. This refueling outage is expected to last until
                  March 3, 1987 (SALP 7). During this assessment period,
                  Unit 1 experienced two outages.
                  Unit 1 outages are summarized below:
                  a.    March 10-17, 1986: After receiving a full power reactor
                        trip, due to a reactor trip breaker not being properly
                        racked into place, Unit I remained shutdown to repair a
                        bowed shaft on a RHR pump,
                  b.    September 4, 1986: Unit 1 began it's 17 week, routine
                        refueling and maintenance outage.
            2.    Unit 2
                  During this assessment period, Unit 2 began the assessment
                  period in an extended refueling outage; this refueling outage
                  lasted until February 4,1986. Unit 2 experienced seven
                  outages.
                  Unit 2 outages are summarized below:
                  a.    December 6, 1985 thru February 4, 1986: Shutdown for
                        refueling, routine maintenance and 10 year in-service
                        inspections.
                  b.    February 28 thru March 2, 1986:    Unit 2 was taken off
                        line to perform over-speed trip vibration tests on the
                        newly installed Brown-Boveri low pressure steam turbine.
                  c.    March 24 thru 25, 1986: After receiving a trip from
                        full power during reactor protection system testing,
                        Unit 2 remained shutdown to investigate electrical noise
                        and radio frequency problems in the nuclear instrumenta-
                        tion drawers,
                  d.    June 27 thru July 14, 1986: Unit 2 remained shutdown
                        due to failure of primary system instruments after a
                        lightning strike caused a reactor trip on high Over-
                        Temperature Delta-T.  Five reactor coolant system
                        resistance temperature detectors were replaced, one
                        accumulator transmitter was recalibrated, and maintenance
                        was performed on an essential service water pump.
                                            29
 
                                                Mc
                                                                                      '
                                                        s,                              '                            '                                                        \
                                                                    t e''
                                                                                                  ,
    ,                            ,
                                        I      %,yg                            -t ,''            s
                                                                    7                                                .
                                                                                                '
    -                                                  t    A                    i        ; s.                  ._
    e
                                                                                                      f
          '
                              e,                  '1986: Unit 2 was shutdo*, from mode 2 (4 hour -
                                      yJuly
                                      LCO act  5,'f an staAament) to repair esstotial service water
    a
                                      pumon %ich we're out of servicel ei                                                                    t
                                            , sc                                                                                                                                    ,
,        q                    f.      September 20-22, 1986: Unit 2 was shutdown to repair ,                                                    .
      .
                                      the turbine electro-b3draulic control system.                                                                  N
                                                                    N (          "                    '
                                                                                                            ..
  T            B.      Inspection Aci.iv'1 ties
                                                                  p. , (-                      'Q,y                                            v.    -
                        There were 33) inspections concucted at Unit 1 and 33 inspections                                                                      '
                                                                                                                                                                                          o
                        conducted at'# nit 2 during this, assessment period for October 1,
                        1985 througti Xavember 30,1986.*?                                                                                            ,
                                          '
                                                                                                                                              '
                        1.    Inspe::tf on Data
                              Facility Name: Zion                        '
                                                                '3
                              Unit: 'l                                                ,
                              Docet No . : 50-295                    *
                                                                                    e, i
                              " Ins'p'edtion Reports No. : 85001, 85032, 85036, 85038 through
                  '
                              85043, 86001 through                                                        86019, 86021 t t. cough
                          j~86024, 86027 and 86029.86005,l86007/through
                          '
                                                                          t          ',                                              .                                          >
                                                                                                                                  's                                              t,,
                                                                                                                                                                                        '
                              Facility Name: Zion                                                                                      ,
                              Unit: 2                                                                                                  c'y                                            ''
                              Docket No.: 50-304                                                                                      -
                                                                                                                                        3
                                                                                                                                              s                                      ',
                            , Inspection Reports No.: 85001, 85033, 85035, 85038 through ,                                                        e
                              85044, 86001 through 86005, 86007 through 26019, 86020,                                                          ;,              -
                              86022 through 86024, 86027,'and 86029.                                    j                                              ''
                                                  '
                                                                                                            '
                                                                Table'1
                                                                                                                                                                                    '
                                    ,      \.                                                [s
                                                                                                    '
                                                                                                              e
                      ,
                                                                ,                          ;                ,s
                                              Number of Violations in Each Severity Level
                                                                                  '
                  .                                          ..            1-                                                Commontd
                                i                  Unit 1                        ,  Unit 2                                  Both Units
          Functional Areas o                  I II III IV V                    I II III IV V                            I II III IV V
                                      r
          A.  Plant Operations                            3                                        1                                    1
          B.  Radiological Controls                                                                  1                                                        %
          C.  Maintenance                                                                                                                2
          D.  Surveillance                                                                              .                                2
          E.  Fire Protection                                                                                                            1
          F.  Emergency Preparedness                                                                                    '
          G.  Security                                                                                                                    1'
          H.  Outages                                                                                11
            1. Quality Programs and
                Adminis. Controls
                Affecting Quality                                                                                                          2
          J.  Licensing Activities                                                                                        '
                                                                                                                            ,
                                                                                                                              ,
          K.  Training & Qualification
                Effectiveness
                                                                                                                                            t.
                    TOTAL                    I II III IV V
                                              0 0      0 30
                                                                                I II III IV V
                                                                                0 0            0 31                      I II III N
                                                                                                                          0 0 \0 90
                                                                                                                                          t V'
                                                                  30
                                                                                                                    s
                                                                                                                s
                                                                                                                                                          _ _ _ _ _ _ _ _ - - _
 
                                                                          -_-                                                          - _ - _ _ - _ _ - _ _ _ - _ _ _ -
                                          '
                ,
          4      -              , .s    <
                .,            3
l                              l        2.    Special Inspection Summary
        .                      s
  4                                            None
                          i
                                C.      Investigations and Allegations Review
                          '>            Allegation Review
                                        Seven allegations relating to Zion consisting of eleven concerns
                                        were received in Region III during this assessment period. Four
                                        allegations were of a nature that they were closed following
                                        regional review. Two others dealt with safeguards issues and one
                        ,                                                        No safety significance issues
        y,            l              } pertained
                                        or violationsto administrative
                                                        were identifiedissues.
                                                                        from the NRC review of these
    ,'
      /
            '
                    ,
                            '
                                      g allegations.
                  c                1
              -
                                D.    {scalatedEnforcementActions
                                        No civil penalties were issued during this assessment period.
                Y                        During this assessment period one Severity Level III violation,
  ,
                                        regarding the inoperable IB auxiliary feed water pump, was
                                          initially proposed with a $25,000 civil penalty. However, after
                                        the NRC reevaluated the licensee's response, the severity level
                                        yas reduced to Severity Level IV based on the over 100% of
                                        required capacity remaining even with the one pump inoperable.
                                E.      Licensee Conferences Held During Assessment Period
                                          1.    January 10, 1986, (Regional Office) - Management meeting to
                                                discuss the findings of Zion's SALP 5.
                '
                                        2.    March 14, 1986 (Regional Office) - Enforcement Conference was
                                                held to discuss information regarding the IB auxiliary feed
                                                water pump which were inoperable due to having service water
                                                to the bearing oil cooler valved out.
                                          3.    April 9, 1986, (SITE) - A tour and management meeting with
                                                representatives from Zion plant management to discuss
                                                operational safety.
                                          4.    April 29, 1987, - Management meeting regarding the history
                                                behind improperly set negative flux rate reactor trip (NFRT)
                                                setpoints, and to discuss corrective actions taken in response
                                                to the December 14, 1985, loss of residual heat removal event
                                                which occurred when Unit 2 was in cold shutdown.
        (
                                          5.    May 21,1986, (Site) - Management meeting to tour the facility
                                                and meet with station management.
                                F.      Confirmation of Action Letters
                                          October 27, 1986, A Confirmatory Action Letter was issued following
                                          the October 24, 1986, failure of the IB diesel generator during
                                          post-maintenance testing.
                                                                          31
                          '
                                                                                        _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - - _ _ _ _ _
 
~
        ,y,q                                                                                    '
    '
                                                                                                  ,
  ,            (
  /-    ,tt              e
      '  .                ,
                        G.  A Review of Licensee Event Reports and 10 CFR 21 Reports Submf tted
                            by-the Licensee
                            1.  Licensee Event Reports (LERs)
              :
                    1
                      '
                                  Unit 1
              ,.                Docket No.: 50-295
                  4              LERs Nos.: 85040, 85042 thru 85047, and 86001 thru 86040.
i                                Unit 2
l                                Docket No.: 50-304
l                                LERs Nos.: 85026 th;*u 85029 and 86001 thru 86022.
                                  Seventy-three LERs were issued during this assessment period;
                                  30 LERs were the result of personnel errors; 22 LERs resulted
                                  from procedure inadequacies; 7 LERs were due to component /
                                  equipment failures; 4 LERs were related to design problems;
                                  and 10 LERs fell into the other categories (i.e., unknown
                                  human errors, external causes, and other).
                                                                                                    1
                                        CAUSE                                    Unit 1 Unit 2
                                        Personnel Errors                      '
                                                                                  18    12
                                        Procedure Inadequacies                    15      7
            ,                          Design / Construction                      2      2
                                        External Causes                            0      1
                                        Component / Equipment                      6      1
                                        Other                                      5      2
                                        Unknown Human Errors                        1      1
                                  NOTE: The above information was derived from reviews of
                                          Licensee Event Reports performed by NRC Staff and
                                          may not completely coincide with the unit or cause
                                          assignments which the licensee would make. In
                                          addition, this table is based on assigning one cause
                                          code for each LER and does not necessarily correspond
                                          to the identification of LERs addressed in the
                                          Performance Analysis Section (Section IV) where
                                          multiple cause codes may be assigned to each LER.
                                  The frequency of occurrence of LERs was unchanged since the
                                  previous SALP. During SALP 5 95 LERs were identified over a
                                  17 month assessment period or an average of 5.3 per month
                                  compared to an average of 5.2 LERs per month during this
                                  assessment period. The percentage of LERs which were caused
                                  by personnel error increased during this assessment period
                                  from 32.7% to 41.1%. Although this percentage is not
                                  considered excessively high, the number of LERs issued is
                                  high and improvements in both statistic is warranted.
                                                                              32
                                                    - - - - - - - - - - - - -                        )
 
  o
  ~
  o
l      2.  Analysis and Evaluation of Operational Data (AE00)
'
            The results of the AE00 evaluation of Zion Licensee Event
            Reports for this assessment period indicated an improvement
            in both content and quality. AEOD assessed an average score
            of 8.8 out of a possible 10 points; compared to Zion's
            previous overall average score of 6.8 and the current reactor
            industry average of 8.1. AE00 indicated that information
            concerning the identification of failed components needs to
            improve. However, strong points of the Zion LERs are that
            information concerning mode, mechanisms, and effect of a
            failed components is well written.
      2.  10 CFR 21 Reports
            (a) Inspection Report 304/85018 documented limitorque wires
                  for which there was inadequate environmental qualification
                  documentation.
            (b) Inspection Report 304/86017 documented leaking Anderson-
                  Greenwood 5-valve manifolds.
    H. Licensing Activities
      1.  NRR Site Visits / Meetings / Licensee Management Conferences
            Inadequate Core Cooling                January 21, 1986
            Core Reload Methodology                January 31, 1986
            Appendix R, Fire Protection            September 30, 1986
            Pressurized Thermal Shock              October 3, 1986
            Site Visit                            May 12-16, 1986
      2.  Commission Meetings
            None
      3.  Schedule Extensions Granted
            None
      4.  Reliefs Granted
            ASME Code, Rev. 5 to ISI Program                  March 27, 1986
      5.  Exemptions Granted
            None                                                              I
      6.    Licensee Amendments Issued
      Amendment
        Number                    Title                          Date
                                      33
                        __                                _
                                                                            ;
 
c>
%
4
      91/81          Items A.1 and A.2 of 1980
                      Confirmatory Order                December 31, 1985
      92/82          Capsule withdrawal schedule        January 16, 1986
      93/83-        Mechanical and hydraulic snubbers January 22, 1986
      94/84          Enrichment limits for new and
                      spent fuel pools                  February 19, 1986
      95/85          Negative rate trip setpoints      March 10, 1986
      96/86          Radiological Environmental
                      Technical Specifications          March 24, 1986
      97/87-        Degraded grid voltage protection
                      system                            March 27, 1986
      98/88          S.G. tube sleeving methodology    November 18, 1986
  7. Emergency Technical Specifications Issued
      Amendments 95 and 85 - Negative rate trip setpoints - issued
      March 10, 1986,
  8. Orders Issued
      None
  9. NRR/ Licensee Management Conference
      None
                                                                          .
                                    34
}}

Latest revision as of 06:36, 20 December 2021

SALP Board Insp Repts 50-295/87-01 & 50-304/87-01 for Oct 1985 - Nov 1986.Category 1 Rating Given in New Functional Areas of Outages & Training & Qualification Effectiveness & Security & Licensing Activities
ML20204F131
Person / Time
Site: Zion  File:ZionSolutions icon.png
Issue date: 03/16/1987
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20204F033 List:
References
50-295-87-01, 50-295-87-1, 50-304-87-01, 50-304-87-1, NUDOCS 8703260140
Download: ML20204F131 (36)


See also: IR 05000295/1987001

Text

.

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SALP 6

SALP BOARD REPORT

U. S. NUCLEAR REGULATORY COMMISSION

REGION III

SYSTEMATIC ASSESSMENT OF LICENSEE PERFORMANCE

50-295/87001; 50-304/87001

Inspection Report No.

Commonwealth Edison Company

Name of Licensee

Zion Units 1 and 2

Name of Facility

October 1,1985 through November 30, 1986

Assessment Period

40 87

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TABLE OF CONTENTS

Page No.

I. INTRODUCTION 1

II. CRITERIA 2

III. SUMMARY OF RESULTS 4

IV. PERFORMANCE ANALYSIS 5

A. Plant Operations 5

B. Radiological Controis 8

C. Maintenance 11

D. Surveillance 13

E. Fire Protection 14

F. Emergency Preparedness 16

G. Security 17

H. Outages 19

I. Quality Programs and Administrative Controls 22

Affecting Quality

J. Licensing Activities. 24

K. Training and Qualification Effectiveness 26

V. SUPPORTING DATA AND SUMMARIES 29

A. Licensee Activities 29

B. Inspection Activities 30

C. Investigations and Allegations Review 31

D. Escalated Enforcement Actions 31

E. Licensee Conferences Held During Assessment Period 31

F. Confirmatory Action Letters 31

G. Review of Licensee Event Reports and 10 CFR 21 Reports 32

H. Licensing Actions 33

_

.

.

I. INTRODUCTION

The Systematic Assessment of Licensee Performance (SALP) program is an

l integrated NRC staff effort to collect available observations and data on

( a periodic basis and to evaluate licensee performance based upon this

l information. SALP is supplemental to normal regulatory processes used to

j ensure compliance to NRC rules and regulations. SALP is intended to be

sufficiently diagnostic to provide a rational basis for allocating NRC

resources and to provide meaningful guidance to the licensee's management

to promote quality and safety of plant construction and operation.

An NRC SALP Board, composed of staff members listed below, met on

February 10, 1987, to review the collection of performance observations

and data to assess the licensee performance in accordance with the

guidance in NRC Manual Chapter 0516, " Systematic Assessment of Licensee

Performance." A summary of the guidance and evaluation criteria is

provided in Section II of this report.

This report is the SALP Board's assessment of the licensee's safety

performance at the Zion Generating Station for the period October 1,

1985, through November 30, 1986.

SALP Board for Zion Generating Station:

Chairman

  • J. A. Hind, Director, Division of Radiological Safety and Safeguards

Board

  • C. E. Norelius, Director, Division of Reactor Projects
  • C. J. Paperiello, Director, Division of Reactor Safety
  • J. A. Norris, Licensing Project Manager, NRR
  • M. M. Holzmer, Senior Resident Inspector

R. F. Warnick, Chief, Projects Branch 1

  • B. L. Burgess, Chief, Reactor Projects Section 2A

P. L. Eng, Resident Inspector

J. W. McCormick-Barger, Reactor Engineer, Technical Support Staff

R. M. Lerch, Project Inspector, Section IA

  • Voting members of the Board.

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II. CRITERIA ~ [,c

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5 ThE licinsee s performance is a s ssed in selected functioNN areas '

dependird whether the facilith' inaconstruEtioQere-oMati'enalor ,.

operating phase. Each functienal aree normal 7y reprtcentsp an(area

significant to nuclear safety \nd che environment, and is a normal i

programmatic area, Soms functional areas aay not be,a'ssessed because of '

.

little or no licensee activities or lack of mearingfdl observations.

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Special areas may be added to highlight significant observations. is

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One'or more of the following evdation crira-ia' were. used to assess each -

functt g 1 area.

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A. /y sManagement involvement in@ssuring qualf ty. .

Approachtoresolutionoftechnicalissuesfpmasafetystandpoint.\

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C. ' i desponsiveness to NRC init'.Ttives. 1 (

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D. Enfoicede.'t histor'y.

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E. )OperationalandConstructionevents(fnclydingresponseto,analhsis

of, and corrective,hgi,ols for). ,{ )

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F. Staffing (including *mana'gement). '

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However, the SALP Board is not limited,to thhe criteria and others may

have been used where appropriate.' g i.'

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BasedupontheSALPBoa'rdasse'ssmnt,babifunctionalareae'vafuatedis . .

classified into one of three performance \ sate @. ies. The definftfon of ds

these performance categories is: g

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Category 1: Reduced NRC attention may be apropriate. Licensee h

management attention and involvement ar2 aggressive and oriented toward (

nuclear safe'ty; licensee resources are ample and effectivWy used so that

a high level of performance'with respect to operational satAty or 4

monstruction is being achhved. '

"

Category 2: NRCattentionkhouldbemaintainedatnormallevels.

Licensee management attention and involvement are evident and are

concerned with nuclear safety; licensee resources are adeduate and are g

reasonably effective such that satisfactory performance with '

respect to '

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operatipnal safety or constrb: tion is being achieved.

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Catejoay 3: Both NRC and licensee attention should be Ocreased.

Licensee management attentKr or involvement is acceptable and considers (

nuclear safety, but weaknesses are evident; licensee resources appear to i '

be strained or not effectively used so that minimally satisfactory s

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performance with respect to operational safety or construction is being '

achieved. V i

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Trend: The SALP Board may determine to include an appraisal of the

performance trend of a functional area. Normally, this performance

trend is only used where both a definite trend of performance is

discernible to the Board and the Board believes that continuation of  ;

, the trend may result in a change of performance level.

- l ,

J'.. The trend, if used, is defined as:

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a. Improving

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Licensee performance was determined to be improving near the close '

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of the assessment period,

b. Declining

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Licensee performance was determined to be declining near the close

of the assessment period.

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III. SUMMARY OF RESULTS s

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/ '0verall, the NRC has found the licensee's performance' acceptable and -

'dir'ected toward safe facility operation. However,ithe Ticensee's 1 <

overall performance remained lat the same . level identifie'd in the last

SALP period. A Category 1 rating was given in the new functional areas

/

of Outages and Training and Qualification Effectiveness. Continued e

Category 1 performance was noted in the areas of Security and Licensing

Activities and seven areas remained at a Category 2 rating. The licensee i

should continue to provide aggressive management attention to the SALP

Category 2 functional areas -in order to achieve the level of performance

desired by both the NRC and the licensee. '

..

,

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, Ratfag Rating Thisp

Functional' Area i SALP :5 / Period

'

Trend

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A. Plant Operations '

2 2

B. Radiological Controls 2 2

, C. Maint.enance "

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. Emergency Preparedness

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G. Security 1 1 1

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K. Training and Qualification

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    • Not rated (new( functional area for SALP 6)

< For SALP 6.the previous Refueling functional area has been expanded to

encompass al' major outage activities.

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IV. PERFORMANCE ANALYSIS

A. Plant Operations

1. Analysis

During the assessment period, nine inspections were performed

by the resident inspectors in this functional area. This

assessment was based on direct observation of operating

activities such as startups, shutdowns, routine evolutions and

response to abnormal plant conditions, reviews of logs and

other records, verification of equipment lineup and

operability, and followup on significant cperating events.

Five violations of NRC requirements were identified in this

area during the assessment period, all of which were Severity

Level IV. One of the violations stemming from an auxiliary

feedwater pump being inoperable for 14 days longer than allowed

by Technical Specifications (TS), resulted in an enforcement

conference and a proposed Severity Level III violation. Appeal

of the severity level by the licensee was found acceptable by

'

the NRC and the violation was issued as a Severity Level IV

on December 19, 1986. Another violation, consisting of failure

to meet TS requirements. involved the loss of recirculation

flow to the Unit 1 borce .njection tank (BIT) for a time period

in excess of that allowed by the TS.

Three other Level IV violations identified were failures to

meet the requirements of 10 CFR Part 50. One violation

involved the failure to report the closure of containment

purge valves as required by Part 50.72, and occurred early

in the assessment period. Since that time, the licensee has

adhered to the require.ments of both Parts 50.72 and 50.73.

-

, Two other violations pertained to 10 CFR Part 50 Appendix B,

Criterion V, one of which resulted from the failure to follow

a procedural caution while attempting to pull fuses to main

steam isolation valve (MSIV) control power. The other, which

was the result of a procedural inadequacy as supported by

three examples, involved the loss of both trains the residual

heat removal system while the reactor coolant system was

partially drained for maintenance.

During the 17 month SALP 5 assessment period, there were six

violations of NRC requirements consisting of eight examples.

Compared with the current SALP period of 14 months and the

cited five violations consisting of seven examples, the rate

at which violations occur appears to be nearly equal. However,

two violations were related to events that represented a

greater safety significance than those that were noted during

the previous assessment period. These were the inadequacy

of Procedure MI-6 and the inoperability of the auxiliary

feedwater pump for 14 days longer than allowed by TS.

+

5

.

.

Unit I tripped three times and Unit 2 tripped four times

during this assessment period, with six of the seven trips

occurring while the units were above 15% power and one of

the Unit 1 trips occurring between 0% and 15% power. All

reactor trips were automatic and not manual. Three of the

reactor trips were caused by equipment failures. Of these,

one was related to the turbine electro-hydraulic control

system, one was related to electrical noise in nuclear

instrumentation cabinets during surveillance testing, and one

was caused by instrument drift in a reactor protection system

bistable. Three trips were caused by personnel error or

training deficiency. Two of those were caused by instrument

mechanics and one was caused by a non-licensed operator. The

remaining reactor trip was caused by a lightning strike.

Reactor trips occurred at essentially the same rate as SALP 5,

with similar rates for root cause of personnel error and

equipment failures. There were also two trip signals at 0%

power, one for Unit I and one for Unit 2.

There were 24 Engineered Safety Feature (ESF) actuations during

this assessment period (excluding the reactor trip signals

discussed above). Five of these ESF actuations were due to

containment purge isolation signals, five were actuations of

one or more containment isolation valves, and four were

automatic starts of penetration pressurization air compressors.

In addition, six ESF actuations resulted from test activities,

and were caused by switch malfunctions, operator errors, and

procedural deficiencies. The licensee has complied with the

requirements of 10 CFR 50.72, and has reported conservatively

throughout the period.

Of 24 licensee event reports (LERs) which involved the

operations area, six involved inadequate procedures. The

remainder were evenly split between procedural violations,

technical knowledge deficiencies, communications errors, and

personnel errors.

The licensee routinely exhibited a conservative approach to

safety issues as indicated by their response to the four

unusual events which occurred during the assessment period.

In these cases, operating mode reductions were initiated or

made according to the technical situation, at the expense of

production. In addition, reactor startups following trips

were properly delayed until the licensee had completed a

determination of root cause of reactor trips, actions to

prevent recurrence, and correction of equipment problems.

For example, following the reactor trip that was caused by

a lightning strike, extensive testing was performed to

determine which electrical components had been affected by

the lightning.

Operator response to plant transients and events was generally

good. Detection of subtle changes in plant parameters led to

6

.

l

.

the discovery of the failure of the 1B main steam check valve.

In addition, a leaky valve in the Unit 1 pressurizer spray line

was promptly detected by a radwaste operator who had observed

an increase in the frequency of cycles of the containment sump

pump. Several startups and shutdowns were observed by the

resident inspectors. During these evolutions, procedural

adherence, supervision, communications, and operator vigilance

were very good.

Control room behavior and conduct are addressed in detail in

corporate and plant directives and procedures, which

specifically prohibit sleeping, chronic lack of attentiveness,

alcohol or drug use, practical jokes, and other distractions

under penalty of disciplinary action including discharge. In

addition, radios, televisions, and non professional reading

materials are prohibited. Operator adherence to these

procedures is excellent. Operator's knowledge and awareness

of plant status is also very good. Operating units routinely

run with few alarm status lights. During the assessment period,

there were long periods in which fewer than four alarms were

illuminated for operating units. Plant management has also

acted to minimize the amount of traffic and reduce the number

of unnecessary personnel in the control room.

Several management positions changed in September of 1985,

including the Operating Assistant Superintendent, and Operating

Engineers. Since that time, management turnover has stabilized

with the exception of Shift Control Room Engineers (SCRE). Of

9 SCREs, only 2 have been in that position for more than 18

months. While no specific problems were identified, which

were attributed to the low level of SCRE experience, this is

considered an area of potential weakness.

The operations department has initiated several actions to

improve regulatory performance during the assessment period.

These include enhancements to control room professionalism and

appearance. One such action will be the remodeling of the

control room center desk area in 1987, which should provide a

better facility for shift management and control of access.

The licensee also initiated a procedure improvement program.

Aspects of this effort include contracted assistance to reduce

the backlog of procedure changes needed for the near term, and

contracted procedure development and revision assistance to

incorporate human factors principles and INPO guidelines into

all operating procedures. Operator involvement is also planned

to ensure that procedures are " workable". Conduct of opera-

tions improvements have included improved turnover, night

order, and standing order procedures. Reviews are also planned

for operator logs, the locked valve control program, and the

conduct of operations policy. Plant labelling improvements

have been in progress throughout the assessment period to

ensure that valve and component labels are properly provided.

A color coding scheme for the plant is also planned.

7

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. _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ . _ _ _ - _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ - _ - _ __

o

.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rating of Category 2 in the last assessment period.

3. Board Recommendations

None

B. Radiological Controls

1. Analysis

Six inspections were performed during this assessment period by

region based inspectors. The resident inspectors also reviewed

portions of this area during routine inspections.

One Severity Level IV violation was identified concerning

failure to collect a reactor coolant sample for iodine analysis

within the required time frame.

i

The licensee's management involvement has generally been good

with some exceptions. Audits are thorough and timely with

good responsiveness to findings. The licensee's efforts to

! improve worker adherence to station radiation protection

procedures by increased identification of offenders and

stronger disciplinary actions have been somewhat successful,

although further effort is necessary based on NRC inspector

observation of workers failing to properly frisk themselves

when leaving contaminated areas. Positive management control

initiatives during this assessment period include the formation

of a dry active waste (DAW) volume reduction committee,

periodic meetings between the Radiation Protection Manager

(RPM) and appropriate plant management, the auxiliary building

cubicle contamination reduction program, a corporate directed

secondary water chemistry control program, and various trending

programs. Several items, however, failed to receive timely

and thorough licensee management attention, including

development of compliance documentation for certain TMI

Action Plan Items, resolution of the acceptability of the

1983 modification and repair of the control room emergency

air cleaning system, and laundry operational problems. The

September 11, 1986, incident involving the inadvertent

intrusion of radioactive noble gas into the technical support

center (TSC) and control room gas control envelopes also does

not appear to have received appropriate management attention.

The licensee did not recognize until late November that the

TSC ventilation system apparently could not meet its design

objective. A comprehensive program to investigate the

technical and regulatory ramifications of the September 11,

1986, incident was not initiated until mid-December.

8

_ _ _ _ _ _ _ _ _ _ _

.

.

Licensee staffing performance during this assessment period

has improved in some aspects and declined in others. The

radiation / chemistry technician (RCT) staff has stabilized with

a very low turnover rate; however, the turnover rate for the

professional health physics staff has been high resulting in

60% of the positions either vacant or filled with personnel

who have very little operating plant experience. The staffing

levels appear adequate, however, to perform the necessary

work activities in this functional area. A persistent problem

continues to exist in that the rotation of the RCTs between

health physics and chemistry groups results in long periods

of absence from the laboratory, which is conducive to a loss

of laboratory proficiency, especially in the use of

sophisticated analytical instrumentation.

Licensee responses to NRC initiatives have generally been

adequate. Improvements were made in response to NRC identified

weaknesses concerning radiological environmental monitoring

program (REMP) management, liquid effluent alpha counting,

degraded auxiliary building HVAC exhaust ductwork, in-situ

calibration of containment high range radiation monitors, and

management of 10 CFR 61 implementation. NRC concerns about

inconsistencies between the REMP and the Offsite Dose

Calculation Manual that carried over from the previous

assessment period were largely resolved with implementation of

the new Radiological Effluent Technical Specifications (RETS)

in the fall of 1986. Although, as stated above, certain TMI

Action Plan Items have remained unresolved for an extended

period, significant progress regarding compliance documentation

was made by the licensee near the end of the assessment period.

The licensee's approach to resolution of radiological technical

issues has generally been technically sound, thorough, and

timely. The licensee has realized significant dose savings by

establishing and diligently maintaining an effective ALARA

program. The 1985 personnel exposures were about 550

person-rems per reactor which is about 20% less than the

licensee's average over the previous five years but 35%

higher than the 1985 average for U.S. pressurized water

reactors. The 1985 personnel exposure level was due mostly

to extensive outage work on both units. The 1986 personnel

exposures are expected to total approximately 250 person-rems

per reactor. Noteworthy improvements implemented during this

assessment period include the continual reduction of the

contaminated floor area in the auxiliary building general

access area, initiation of the cubicle contamination reduction

program, and installation of new state-of-the-art whole body

frisking units. Problems identified during this assessment

period include lack of finalization of procedures and plans

for the use of the interim radwaste storage facility,

correction of certain HVAC system design deficiencies, problems

with implementation of dry active waste (DAW) compaction area

(

9

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.

facility modifications, lack of procedures for segregation of

" clean" DAW trash, and repetitive failures to meet technical

specification monitor surveillance requirements.

Radioactive gaseous effluents have remained about the same as

the previous period, about 2000 curies annually per unit,

reflecting the absence of any significant fuel cladding

problems and only minor primary to secondary leakage. Two,

minor, unplanned but monitored, gas releases resulted from a

leaky valve and a faulty computer chip related to a gas

analyzer associated with the water gas compressor. Appropriate

and timely measures were taken to preclude further releases

from these sources. Liquid effluents continued a generally

decreasing trend which began about five years ago. About 2

curies were released in liquid effluents in 1985 and about

0.7 curies were released during the first half of 1986. The

licensee continues to pursue an aggressive and effective solid

radwaste reduction program; solid radwaste generated in 1986

is expected to be about one-half and one-third that generated

in 1985 and 1984, respectively. No licensee radwaste trans-

portation problems were identified during this assessment

period.

Improvements in control of water quality were noted beginning

in the second half of 1985. Trend plots of key chemistry

variables showed that the plant was able to remain within

administrative limits about 99% of the time. The licensee has

adequate sampling capability on both the primary and secondary

systems, but plans to improve on-line monitoring of chemistry

variables in 1987.

Laboratory QA/QC was considerably improved with better use

of control charts for instrument performance data, testing

of technician performance with blind duplicate samples, and

participation in interlaboratory crosscheck programs for

radiological analyses. The station has had problems in

analyzing EPA environmental level radiological samples.

This comparison program will be replaced by vendor supplied

unknowns at concentrations more appropriate for station

analyses. The station achieved 55 agreements in 60

comparisons in the NRC confirmatory measurements program,

a slight decline in performance from the previous assessment

period. The licensee is taking appropriate corrective steps

including recalibration of gas geometries and analyses of a

spiked sample from the NRC reference laboratory.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rating of Category 2 in the last assessment period.

10

_ - - .. -.

.

.

3. Board Recommendations

None

C. Maintenance

,

1. Analysis

During the assessment period, eight inspections were performed

by the resident inspectors in this functional area. This

assessment was based on direct observation of plant modifica-

tions, replacements, repairs, equipment overhauls, preventative

maintenance, maintenance organization and administration, and

response to events related to maintenance.

'

Two Severity Level IV violations were identified in this area.

One violation resulted when the level in the containment spray

additive (Na0H) tank fell below the minimum required because

calibration procedures did not contain appropriate acceptance

criteria. Procedure revisions corrected the problem. The

>

other. violation was cited for two examples where plant workers

'

manipulated plant equipment without procedures and thereby

defeated the system design. In one case this resulted in a

reactor trip when a turbine pressure transmitter was isolated.

Eight violations were identified during the previous assessment

period, most of which were related to Instrument Mechanic

3 (IM) or Mechanical Maintenance (MM) procedures or procedure

i adherence. Revisions to all safety related IM pincedures,

begun during the previous assessment period, were completed

4

and incorporated more detailed work instructions, cautions,

and independent verifications of return-to-service valve and

switch lineups. These revisions, combined with improved IM

performance have significantly reduced the number of IM related

.

events.

!

Of 34 LERs related to maintenance activities, 18 were caused

by equipment failures and 7 were caused by personnel errors.

,

'

The remainder were due to instrument drift (4), installation

not meeting the design (3), and inadequate procedures or

design (2 each).

About 25 new MM procedures were written during the assessment

period, although this effort has been done on a spare time

basis. Late in the assessment period, a contract was prepared

to provide assistance in writing and revising MM procedures.

The need for improved MM procedures was highlighted in

October 1986, when the IB diesel generator (DG) threw a piston

connecting rod through the crankcase wall during a post

j maintenance run. The maintenance performed involved removal

, of the affected piston and cylinder liner. The procedure used

i was inadequate to prevent improper tcrquing of the connecting

i rod lower bolts, and the DG failure resulted.

, 11

!

,

y . ,,3-- .-- - ,, m,v.--,.,--- ,-,-% -r.,-.,,,-..,io.,u.-mmm.-% ..,em,-.._e,-m- ,.- --. , - -.---w.-- - -mm.. - , - , . - - - - , - - - . - - , -. . - , -

__ _ _ _ _

- __ ___

-_ _-

.

4

Maintenance staffing levels are generally adequate, however,

additional personnel appear needed to provide planning and

coordination of work activities, and to write procedures and l

work packages. Also, new demands on staff time for performing

more detailed work instructions and requalification training l

may impact the staff's ability to keep pace with work request.

Maintenance personnel, including management, are well trained

and adherence to procedures is generally good.

The backlog of maintenance work requests has varied depending

upon whether an outage is in progress, but was generally large

during the assessment period. This backlog, which includes

safety related and nonsafety-related modification and

preventive maintenance work requests, peaked at about 3250.

Equipment availability for safety related equipment was very

good, as indicated by relatively few entries into the Technical

Specifications (TS) limiting conditions for operation (LCO)

involving plant shutdown. Resolution of equipment operability

issues was typically handled on a technical basis, and

resolution involved appropriate consideration for safety.

Examples included repairs to plant equipment following the

July 1986, reactor trip due to lightning and the actions

taken following the failure of the 18 main steam check valve.

Equipment availability for some non-safety related plant

systems needs considerable improvement. Examples include

radiation monitors and recorders (including SPINGS, which are

the particulate / iodine / noble gas monitors), and instrument

air compressors. About half of the maintenance related LERs

reviewed involved equipment failures as causes or contributors

l

to the events.

A formal preventive maintenance program still does not exist;

! however, many preventive maintenance activities do take place.

These include the development of an extensive vibration

monitort,a program, the use of oil samples to determine the

l need for bearing replacement, and inspections and rebuilding

i

of many plant components including safety valves, snubbers,

ISI hangers, circuit breakers, and environmentally qualified

(EQ) components. Positive effects of these activities are

exhibited by the few shutdowns / reactor trips due to equipment

failures.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rating of Category 2 in the last assessment period.

3. Board Recommendations

None

12

- - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .

_ _ _ _ _ _ _ _ - _ _ _ _

.

.

D. Surveillance

1. Analysis

During the assessment period, eight inspections were performed

by the resident inspectors in this functional area. This

assessment was based on direct observation of surveillance

activities, and review of surveillance procedures and

surveillance scheduling. Examination of this functional

area also consisted of three inspections by regional based

inspectors to examine activities as they relate to snubber

inservice inspection and the resolution of unresolved items

and IE Bulletins.

One event resulted in two Severity Level IV violations

during the assessment period. In this event, a control

room ventilation system HEPA filter was replaced without

the post-installation efficiency testing as required by the

Technical Specifications. Appropriate corrective actions

i

were implemented.

Management of surveillances improved during the period.

LER data indicate that 7 missed surveillances occurred

during the assessment period (14 months) compared to 15

during SALP 5 (17 months). In addition, 6 of 24 ESF

actuations occurred during surveillance testing. Two of

these were caused by personnel error, 2 by procedure

deficiency, and 2 by component failures during tests.

In response to NRC concerns expressed in SALP 5, the licensee

developed an action plan to reduce the number of missed

non periodic surveillances. These actions included:

-

Establishment of a master surveillance plan which would

computerize routine surveillances (monthly or less

frequent). This action is not yet complete.

-

Development of an "Off-normal / Transient Surveillance

Manual" (ZAP 10-52-1A, effective December 23, 1986) as

a guide to operators when changing mode or reactor power,

or when information is needed to supplement the Technical

Specifications.

Two examples of missed surveillances occurred following

implementation of the Radiological Environmental Technical

Specifications (RETS) on September 24, 1986. The RETS involved

numerous changes to surveillances on plant radiological

instrumentation and to sampling requirements. The licensed

received the RETS approximately 6 months prior to the

September 24 implementation date to provide adequate time

for review and development of necessary procedure changes.

Oversights during the review process resulted in missed

13

.

.. _ _ _ _ _ _ __ _

_ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _

.

. ..

surveillances on the TSC portable area monitor discovered

October 5, 1986, and in failure to take containment iodine

samples shiftly during Unit 2 containment vents on October 7,

1986.

Surveillance procedures reviewed during the period were

generally adequate, and technically correct. Individuals

performing surveillances adhered to procedures. At the end

of the assessment period, the licensee contracted for a

major rewrite of operating procedures which was to include

performance tests. This action should provide improved

uniformity in format, and incorporate INPO procedure guidelines.

The inspectors determined that snubber inservice inspection

records were generally complete, well maintained and

available. The licensee's responsiveness to the IE Bulletins

was timely, viable, and generally sound and thorough.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rating of Category 2 during the last SALP period.

3. Board Recommendations

None

E. Fire Protection

1. Analysis

Fire protection activities were observed during routine

resident inspections, and during followup of liceasee event

reports (LERS).

l

l One Severity Level IV violation was issued involving

'

inattentive fire watches.

Fourteen LERs were issued regarding fire protection. Eleven

of these were for inoperable or degraded fire barriers and

dampers. Some of the degraded barriers were identified during

quality assurance audits. Several of the inoperable dampers

were the result of inadequate knowledge of the damper design,

which rendered the dampers inoperable when the dampers were

removed from service for maintenance. The number of LERs

involving fire protection is considered too high and warrants

increased management attention.

Management attention to the posting of fire watches needed

improvement. In addition to the violation mentioned above,

there were two instances of fire watches required by Technical

Specifications that were not properly posted. One watch was

14

_--___ - _____- _ -___-__ _ _ __ . _ _ _ _ _

_ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

.

.

secured too early, and another was not posted for two hoa-s

due to a scheduling oversight. Interviews with fire watetes

also indicated the need for better directions and more specific

delineation of the requirements of the watch.

The fire protection staff consists of a Unit 1 operating

engineer assigned responsibility for implementing the fire

protection program, a Fire Marshal, and an additional

operations person assigned to do fire protection surveillances

under the direction of the Fire Marshal. Staffing is generally

adequate with weaknesses as evidenced by the fire damper and

fire watch reportable events.

Fire brigade training and the qualifications of fire brigade

members were good.

As reported in SALP 5, the licensee continues to be in

violation of the scheduler requirements of 10 CFR 50, Appendix

R, regarding fire protection modifications. During SALP 6,

the licensee resubmitted their plan to comply with Appendix

R. The licensee's plan is currently under review by NRR.

Housekeeping improved dramatically over the assessment period.

The auxiliary and fuel building walls were painted, and decks

were repainted. Tools and materials (such as scaffolding

materials and ladders) were inventoried and placed in dedicated

storage areas. Goals for outage and non-outage contaminated

areas were lowered, and the licensee plans to decontaminate

auxiliary building pump cubicles and release them for general

access. Leaks in the auxiliary building were generally

controlled, although some chronic service water leaks still

per.tst.

Painting in the turbine building was in progress by the end of

the assessment period. Painting included components, such as

turbines, pumps and valves, as well as walls, and general

areas. Tb? painting also included switchgear rooms and will

include diesel generators (DG) and DG rooms.

The units will be color coded, as will be certain process

pipes. Felt tip marker component labelling is being replaced

with engraved gravel ply labels. Metal valve identification

tags are also being added or replaced.

Housekeeping improvements have had a high management pricrity

during the assessment period, and as indiceted by the station

goals, this will continue into 1987.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rating of Category 2 in the last assessment period.

15

_ _ _ - _ _ _ _ _ _ _ _

.

.

3. Board Recommendations

None

F. Emergency Preparedness

1. Analysis

Two inspections were conducted during the period. These

included the observation of the unannounced, 1986 emergency

preparedness exercise and a routine inspection.

Management involvement and control in assuring quality has

generally been adequate. Independent audits of the program

were adequate in scope, depth, and frequency. Four

surveillances were conducted during the twelve month period

ending in March 1986, which is a greater number than required

by departmental instructions. Surveillance topics included

the annual exercise, a drill, and the licensee's response to

an actual emergency plan activation. However, the auditor

findings regarding the exercise and drill exhibited a lack

of emergency preparedness expertise when compared to the

findings of the licensee's specialists who also observed

those activities. Records of all quality assurance audits

and surveillances were complete and readily available, as

were records of emergency supplies inventories. However,

there were inadequate provisions for promptly replenishing

missing or depleted items identified during these periodic

inventories.

Between July 1985 and March 1986, the licensee activated the

emergency plan on four occasions. All situations were

properly classified. Required offsite notifications were

completed in an acceptable manner. While the station's

emergency planning coordinator independently evaluated the

records associated with each event, these evaluations varied

in quality and did not always identify problems later

identified by the inspectors. In contrast, the coordinator

j

'

maintained adequately detailed records of emergency prepared-

ness drills, including any corrective actions taken.

The licensee's responsiveness to NRC concerns has generally

been acceptable and timely. A notable long-standing

regulatory issue attributable to the licensee has been a

major revision to the Station's Emergency Action Levels

(EALs). The licensee's corrective action approach, was sound

and thorough. However, several time extensions were granted

before the revised EALs were finally submitted for staff

review.

As evidenced by walkthroughs and player performances during

the exercise, the licensee has maintained an adequate training

program for members of the onsite emergency organization.

16

_ -- . _ _ _ _ _ _ _ _ .

O

'

4

However, Training Department staff were unable to produce

documentation that all director-level personnel had been

trained during 1985 on all relevant emergency plan implementing

procedures in addition to the standardized training modules.

Although simulator training had supposedly included emergency

preparedness decisionmaking, no formal records of this aspect

of emergency preparedness training were maintained. The

licensee has committed to resolve both training documentation

omissions.

The licensee has maintained a prioritized roster of qualified

personnel to fill well-defined, key positions in the onsite

emergency organization. The licensee has demonstrated the

capability of augmenting onshift personnel in a timely manner

by conducting semiannual off-hours drills.

Corporate emergency planning staff has interfaced with the

station on the annual exercise, certain drills, and on

revisions to the emergency plan. Corporate staff has taken

the lead role in frequently interfacing with State and Federal

agencies in the ongoing major planning effort associated

with the 1987 Full Field Exercise. During 1986, corporate

management and staff were responsive to a Kenosha County

official's concern regarding issuance of potassium iodide

to the general public. The licensee met with State and local

officials to resolve the concern. The licensee also adequately

interfaced with Illinois State and local officials in resolving

the concerns of the owner of an Emergency Broadcast Station.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rating of Category 2 in the last assessment period.

3. Board Recommendations

None

G. Security

1. Analysis

Three security inspections (two routine and one special) were

conducted by regional inspectors during the assessment period.

Reduced inspection effort was the result of the licensee

being rated a Category 1 during the SALP 5 period. Two

allegations were received at the beginning of the period.

The allegations involved personnel access control and security

force performance issues and were determined to be unfounded.

One Severity Level IV violation was identified during the

assessment period. It involved a degradation of a vital area

barrier that did not, however, result in an easily exploited

17

.

.

access path. The licensee took prompt and extensive corrective

action which led to the immediate identification and correction

of an identical second breach. The events were reported within

the required time frame. The expeditious manner in which the

barrier degradation was analyzed and corrected was indicative

of an effective security program.

Licensee management's role in assuring quality was clearly

evident as demonstrated in the following examples. The shore

protection project which should prevent future damage to the

Protected Area (PA) intrusion detection system, involved a

concerted effort among the licensee's corporate security

director, the plant manager and the site security adminis-

trator. Considerable management effort was expended in

researching, planning and designing an appropriate solution.

The licensee's PA intrusion detection system continues to be

one of the more effective systems within Region III.

Additionally, the transition from one site security force

contractor to another during the period was smooth and without

impediments. The transition was clearly indicative of prior

planning.

With one exception, technical security issues were resolved

in a timely manner. The licensee's actions implemented as a

result of the identified Vital Area breach were the result

of a conservative approach in the analysis of the event's

significance. The corrective action taken was expeditious,

technically sound, and very thorough. There was only one

issue that was not resolved in the licensee's usually

consistent manner. Compensatory measures for a failed closed

circuit television camera observing the PA perimeter were not

addressed with a conservative approach; however, the licensee

does satisfy applicable security plan commitments.

Events reported in accordance with 10 CFR 73.71 were properly

identified and analyzed and were reported in a timely manner.

Timely and accurate reporting demonstrated excellent knowledge

of regulatory requirements and security commitments on the

part of the security force and also a comprehensive reporting

policy and comprehensive procedures.

The licensee has identified positions within the security

organization which are well defined and which possess the

appropriate level of responsibility. Key positions are filled

on a priority basis. The recent change of the site security

force contractor demonstrated the licensee's ability to

maintain a high level of performance during transition,

highlighting its dedication to a quality program.

During the most recent inspection, the NRC noted that some

central alarm station and secondary alarm station (CAS/SAS)

operators are sometimes required to work 16-hour shifts because

18

.

O

O i

their relief was not available. Some of the forced overtime

was caused by the unanticipated departure of two supervisory

personnel. The licensee was aware of the problem and had

initiated a cross-training program to ensure that qualified

personnel are available on each shift to perform CAS/SAS duties

in the event of an operator's unplanned absence. The initiative

should significantly reduce the frequency of 16-hour shifts by

CAS/SAS operators.

The training and qualification program is effective. Although

the program was not directly reviewed during the assessment

period, the lack of any significant security force personnel

errors and the sustained superior security force performance

were demonstrative of an effective training program. Training

inadequacies were not identified as the root cause of any

security event and, when questioned, security force personnel

were knowledgeable of security plan commitments and security

procedures.

During the assessment period, the morale of the security

force improved notably due, in part, to licensee management

initiatives to improve communications within the security

organization. Improved morale represents another enhancement

to a quality security program.

2. Conclusion

The licensee is rated Category 1 in this area. The licensee

received a rating of Category 1 in the last assessment period.

3. Board Recommendations

None

H. Outages

1. Analysis

Examination of this functional area consisted of routine

observations by resident inspectors during LER followup and

attendance at station meetings, as well as inspections by

regional based inspectors to examine activities as they

relate to inservice inspection (ISI) of piping system

components, steam generator sludge lancing, diesel generator

repair, and startup refueling testing.

One violation (Severity Level IV) was issued involving the use

of uncontrolled drawings by the Station Electrical Engineering

Department during the development of a modification to the

4160 volt ESF bus breaker interlocks. Another Severity Level

V violation was identified in this functional area concerning

physics testing and is discussed later in this section.

19

. ._ - ____-- -_ -___

.

. . . .

.

.

Another event involving modifications indicated the need to

provide better drawing detail to installers.

Outage planning is coordinated by a central outage planning

group under the direction of the Assistant Station

Superintendent, Outages. This individual is one of the most

experiented personnel at the station, having been in the

operating department since before initial criticality.

Outage schedules are developed using a computer program,

and schedules are updated weekly.

During the assessment period, station meeting routine was

changed to add a 7:00 a.m. morning meeting between repre-

sentatives of working groups to review and coordinate work

activities. The 8:15 a.m. morning management meeting format

was also changed to give greater detail on station work,

emphasizing each group's priorities of the day. In the

afternoon, another meeting is held to plan future work.

These meetings have been very beneficial to the flow of

information at the station.

Outage planning is done continuously using 6 month and 3 month

goals. The basic refueling sequence is " pre-set" in the

computer code and other jobs are added where they fit best

in the schedule. After an outage schedule is developed,

daily meetings described above are used as a means to

coordinate work and adjust the schedule as needed. Near

the end of the outage, lists are generated for certain key

milestones, such as drawing a pressurizer bubble. Onsite

reviews are performed prior to leaving cold shutdown.

Outage management for the July 1986, Unit 2 outage caused by a

lightning strike showed a very good approach to the resolution

of technical issues from a safety standpoint. During that

outage, a thorough review of instrumentation which could have

been affected by the lightning strike was conducted. Testing

to verify instrument operability was also conservative.

Management controls as indicated by outage related procedures

were generally adequate, although some deficiencies in

Maintenance Instructions (MI) and General Operating Procedures

(GOP) were identified. Minor ISI deficencies were also

identified in two LERs, and a defective hydrostatic test

procedure lead to the inoperability of the 18 auxiliary

feedwater pump in December 1985. Procedures for the outage

planning group have not been developed because corporate

guidelines have not been issued.

For the ISI areas examined, the inspectors determined that

the activities had received prior planning and priorities

had been assigned. Activities were controlled through the

use of well stated and defined procedures. Observation of

4

20

_ _ _ _ _ _ _ _ _ - - - _ _ _ _ _ .

l'

.

.

ISI activities, sludge lancing, and repair welding indicate

that personnel have an adequate understanding of work

practices and that procedures were followed. Records were

found to be generally complete, well maintained, and available.

The records also indicate that equipment and material

certifications were current, complete, and that the personnel

performing nondestructive examinations and repair welding

were certified. Discussions with personnel performing

nondestructive examinations indicate that they were knowledge-

able in their work activities.

Refueling activities were performed without incident during

the assessment period. Refueling activities are performed by

a stable, well trained, group of fuel handlers. Replacement

of control rod guide tube, split pins, was also performed

without incident and ahead of schedule.

One inspection of core performance surveillance testing

following startup from a refueling outage was performed by.a

region-based inspector. The inspection included verification

that test results conformed with Technical Specifications and

procedure requirements and that any deficiencies identified

during the testing were properly reviewed and resolved. One

Severity Level V violation was identified concerning physics

testing at zero power, where testing was not performed in

accordance with written test procedures in that certain

4 procedure steps were not signed-off or performed before

proceeding to subsequent procedure steps. This violation had

minimal safety significance. However, similar problems in

'

controlling compliance to procedures and adequately reviewing

completed test results were documented in the SALP 5 assessment.

Although these problems had only minimal safety significance,

. the fact that they were repetitive indicates the need for

t

management attention to ensure that corrections prevent

recurrence.

During this assessment period, nuclear group staffing

adjustments were proposed and implemented; the resulting

level of staff in the nuclear group appears to be adequate.

2. Conclusion

The licensee is rated Category 1 in this are.. The licensee

was rated a Category 1 in Refueling during the last SALP

period.

3. Board Recommendations

None

21

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--- _ - - . - - . - .- - . . ,

_

- _ - - - _ . _

,

_ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

.

.

I. Quality Programs and Administrative Controls Affecting Quality

1. Analysis

Examination of this functional area consisted of routine

inspections by the resident inspectors, and of one limited

scope inspection by a region based inspector. In addition,

an inspection of implementation of a program for preventing

overpressure transients was performed by a headquarters

inspector.

Two Severity Level IV violations were identified: (1) failure

to take adequate corrective actions following a loss of decay

heat removal event and (2) negative flux rate reactor trip

setpoints set incorrectly. This is a substantial improvement

from the previous assessment period when seven Severity Level

IV violations were identified.

An NRC headquarters inspection regarding overpressure

transients identified two incorrect assumptions in the

licensee's original calculations, however, the licensee

provided corrected data which demonstrated an adequate

design. The approach to resolution of technical issues

from a safety standpoint and responsiveness to NRC

initiatives was found satisfactory. The attitude and

system knowledge of the people encountered during the

inspection were excellent.

Sixteen out of 27 LERs which applied to this functional area

involved deficient procedures (14), lack of a procedure (1),

or drawings not showing sufficient detail (1). The licensee

has contracted for total rewriting of operating department

procedures (pts and GOPs) and has also contracted for

assistance in writing maintenance department procedures.

These actions should reduce the number of events due to

deficient procedures.

The station goals program is well developed, and effectively

run. General goals are formulated by management, and specific

goals are developed by working groups. Quarterly goals reviews

are conducted. Approximately 161 out of 215 goals were

achieved during the assessment period. Safety and regulatory

goals are included in the program.

l

'

At the beginning of the assessment period, Zion had been in a

Regulatory Perfcrmance Improvement Program (RPIP). Because

of improved performance, regular RPIP meetings with Region III

management were terminated on February 20, 1986.

Corrective action system documents, such as LERs and Deviation

Reports (DVRs), have improved during the assessment period.

In the past, root cause evaluations had occasionally lacked

detail, or had missed one or more contributors to events. ,

In addition, corrective act!ons to prevent recurrence were

22

____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

.

.

sometimes minimal or not addressed for one or more event

contributors. These concerns were expressed to licensee

management in October 1985. As part of an action plan to

improve LER/DVR quality, administrative procedures for LERs

and DVRs were revised and training was conducted for LER/DVR

writers and reviewers. LER/DVR quality has improved

substantially during the assessment period.

The site quality assurance (QA) department was well staffed by

qualified engineers and auditors. The group is effectively

managed, and has implemented several new audit methods. For

example, the group conducted a safety system functional

inspection of safety related portions of the CVCS system.

The inspection involved four auditors and was effective,

resulting in five findings and three observations. The site

QA group was also trained on aspects of fire protection which

they had not previously audited (fire barriers) and made several

findings of non-functional fire barriers (see section IV.E).

Management involvement in site quality assurrance has been

good. The licensee periodically reviewed the overall

effectiveness of the quality assurance program and assured

that personnel received timely training about changes made

to commitments in Technical Specifications, the QA Topical

Report, and the corporate QA manual. Response to NRC

-

identified issues in the area of Technical Specification

calibration testing was timely and thorough.

Management and corporate involvement needed improvement in

the area of Technical Specifications (TS) review and

implementation:

a. The negative flux rate reactor trip (NFRT) setpoints

were found to have been set nonconservatively for

several years,

b. Figure 3.2-9, the normalized Fq (Z) operating envelope

(K(2) curve) was found to be incorrect.

c. Changes to TSs were not properly translated into

procedures, which led to radiation monitor surveillances

being missed.

1

Items a and b involved old errors which the licensee had an

opportunity to detect and failed to do so, and c involved

inadequate review and implementation of a new TS. In the

past, changes to reactor containment fan coolers (RCFCs),

which made previously required surveillances both unnecessary

and impossible to perform were done without prior NRC approval.

10 CFR 50.59 states that prior NRC approval must be obtained

for plant changes which involve changes to the TS. In other

cases, TSs are difficult to interpret.

23

_ _ _ _ _ _ _ _ _ _ _. , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ - - _

_ _ _ _ _ _ _ _ _ _ _

.

.

2. Conclusion

The licensee is rated Category 2 in this area. The licensee

received a rated of Category 2 in the last assessment period.

3. Board Recommendations

None

J. Licensing Activities

1. Analysis

During this assessment period, licensee management actively

participated in resolution of the various licensing issues

and kept abreast of current and anticipated licensing actions.

The submittal of only one request for emergency action during

the assessment period demonstrates foresight and advance

management attention to important safety issues.

The Regulatory Performance Improvement Program (RPIP)

additionally shows licensee management's dedication to

assuring safety. From the licensing perspective, this has

resulted in increasing pride in individual workmanship, and

increasing the desire for professional excellence.

Management involvement was particularly evident in closure of

several multiplant actions and attention given to important

issues. Licensee mid-management personnel frequently visited

the NRR Project Manager to inquire whether NRC licensing needs

were being met, both in substance and schedules.

The licensee maintained close control over licensing action

schedules and either met the originally established dates or

obtained timely acceptance of revisions.

The licensee demonstrated a thorough understanding and

appreciation of the technical issues involved and consistently

exhibited conservatism in analyses and proposed resolutions.

Rarely was there a need for requests for additional informa-

tion, and when such were sent, the response was timely and

technically sound. The licensee maintains a significant

technical capability in all the engineering and scientific

disciplines necessary to resolve items of concern to the NRC

and the licensee. In addition the licensee utilizes the

services of other nuclear support groups to assist in the

resolution of technical problems or to implement new and

proven techniques that will enhance the operation and safety

of the plant.

The completed multiplant actions listed in Section V.H.6

demonstrate the licensee's sound technical resolution of

24

_ _ _ _ _ _ _ __ _ _ __ ___

.

.

complex prom ems involving plant safety and plant operation,

with appropriate attention given to regulatory concerns.

The licensee was responsive to NRC initiatives in almost all

instances. Routinely, technically sound and workable

resolutions were proposed. Priority safety reviews and

responses were given prompt attention. The responses have

been thorough and sufficiently detailed to permit complete

review with little need for further interaction with the

licensee.

The licensee maintains open and effective communications

between NRC and its own licensing staffs. Almost daily

telephone contacts resulted in close cooperation between

licensee and NRR licensing personnel.

The licensee consistently has sent advance copies of submittals

by the overnight express service and, when urgent matters were

involved telecopied them to the Division of Licensing the same

day. Periodically, the Zion Licensing Administrator reported

on the progress of the various commitments to NRC.

To ensure even greater responsiveness to NRC initiatives, the

licensee has a dedicated, full-time coordinator to respond to

and track requirements from Generic Letters.

The licensee has been particularly responsive to NRC's requests

to assist or participate in special studies and surveys,

including visits to the station by NRC staff and contractors.

On such occasions, the licensee consistently made available

their most knowledgeable individuals to assist NRC visitors.

The corporate Zion licensing and engineering staffing is

ample and any vacancies were promptly filled with qualified

individuals. This resulted in no backlog of overdue licensing

actions and in prompt, timely processing of current actions.

The licensee maintains a competent licensing and engineering

staff to ensure technically sound and timely responses to NRC

requests. In addition to the engineering staff at the Zion

station, licensee maintains a Station Nuclear Engineering

Department in its corporate offices where a group of more

than ten engineers, dedicated exclusively to Zion, provides

engineering support to licensing activities and the station.

The corporate engineering support staff is expanding by the

addition of another department of Nuclear Fuel Services,

which is currently preparing to assume the responsibility

for performing the reload safety analysis for Zion Station.

The licensing staff consists of highly trained, qualified and

experienced individuals. For example, both the Zion Licensing

1

25

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, _ . . . . . _ . . . . .

i

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.

! Administrator and the head of the Station Nuclear Engineerir.)

Department maintain current Senior Reactor Operator licenses.

Both individuals have spent several years at the Zion station

holding various responsible positions. The Licensing

Administrator, before his current assignment, headed the

training department at Zion station. In addition to

appointing highly trained individuals to the licensing

division, the licensee assures their continuing qualification

by providing additional training.

2. Conclusion

The licensee is rated Category 1 in this area. The licensee

received a rating of Category 1 in the last assessment period.

3. Board Recommendations

None

K. Training and Qualification Effectiveness

1. Analysis

Resident and regional inspectors have evaluated training and

qualification effectiveness during inspection of specific

program areas. In addition, an inspection was conducted to

evaluate the effectiveness of the licensee's licensed and

non-licensed personnel training programs. No violations were

identified.

During inspections of licensee activities, personnel were

found knowledgeable and effective in implementing their

duties. Training appeared to be well planned and adequately

presented. In cases where abnormal incidents had occurred

at the plant, the licensee prepared a Deviation Report (DR)

which was subsequently used to evaluate whether personnel

error contributed to the event. In cases where it did,

the licensee also evaluated the cause of the personnel error

including an assessment of whether the training program had

been effective or could have contributed to the cause of the

event. Of seven reactor trips in this assessment period,

three were related to personnel errors and possible training

deficiencies. In all cases, completed DRs were forwarded to

the Training Department for independent evaluation to determine

if the formal training program could be improved to prevent

recurrence of the incident. l

The licensee's formal training program for operations personnel

had been accredited by INP0. Instructors were required to

participate in the Company's Supervisor on Shif t (SOS) program.

There was a good feedback path between operations and training.

Operators were aware of the opportunities to provide suggestions

26

_______-_______ ______

.

.

for future modifications to the training programs. The

training department activities were guided by procedures that

implemented a well defined licensed operator program.

Inadequate training could only rarely be traced as a probable

cause of events occurring during this rating period.

The licensee's training program provided a means of

disseminating information related to operating deficiencies

and events to licensed operators. The Training Department

issued and controlled the required reading program and

incorporated lessons learned from past events into the

classroom training topics.

Required reading was distributed to all Zion licensed

individuals, non-licensed operators, radwaste foremen,

training staff, NRC operator license candidates, and

maintenance training coordinators.

Early in the assessment period, the NRC administered

replacement examinations to seven senior reactor operator

(SRO) candidates. Four passed and three failed. The three

who failed did so because they each failed the simulator

examination. These simulator failures could, in part be

attributed to the plant training department's unfamiliarity

with the new symptomatic emergency procedures which had

recently been introduced at Zion. Because these new emergency

procedures addressed more complex emergencies than the old

emergency procedures, the simulator scenarios used in the

examinations were required to be more complex as well. The

training department trained their candidates to handle

simulator scenarios which were adequate for the old emergency

procedures. The training department acknowledged that the

candidates should have been trained more thoroughly in complex

scenarios which the new emergency procedures are designed to

address.

The number of replacement examinations administered in the

period was too small to make any meaningful comparison with

the national pass rate average. It can be stated that all

candidates did pass an examination within the assessment

period.

Additionally, the NRC administered a requalification

examination to eight SR0's and four reactor operators (RO's)

in October 1986. Of the eight SRO's tested, seven passed

as well as the four R0's tested, resulting in a pass rate of

91.7%, which is above the national average.

The problem noted earlier concerning the inability of many

operators to properly use the new emergency procedures to

handle complex simulator scenarios was not evident during the

requalification exam, which indicates that this problem has

been properly corrected.

27

.

e

The facility has been cooperative with the NRC throughout the

assessment period, except for the licensee's initial reluctance

to supply' the Standing Orders to be used as exam reference

material.

For the maintenance groups, the training program was well

defined and implemented with dedicated resources. Inadequate

training could only rarely be traced as part of the cause of

events occurring during this rating period. The maintenance

on-the-job training (0JT) program was directed toward the

application of previously taught knowledge and skills to

maintain plant equipment. The Maintenance Training Program

will be used to ensure that mechanics who have not received

training or have not previously worked on a system will not

be assigned to jobs on that system unless they are accompanied

by a foreman or mechanic with training on the system. There

was a good feedback path from maintenance to the training

department, with pertinent items being factored into the

training program. Maintenance personnel were aware of their

opportunities to input suggestions for revisions to the

training program. The Training Coordinators understood their

training procedures and were implementing a well defined

maintenance training program.

The licensee has begun a two-week radiation / chemistry

technician annual requalification training program involving

the use of new instrumer,ts as well as discussion on health

physics topics. In addition, the chemistry staff has received

a pilot training program on water chemistry control, in

response to a corporate directive on this subject, to alert

personnel of the significance of maintaining good water

chemistry for long-term plant reliability.

Seven training programs (Shift Technical Advisor, Instrument

Maintenance, Electrical Maintenance, Mechanical Maintenance,

Radiation Protection, Chemistry, and Technical) have been

submitted to INPO for accreditation. Full accreditation is

expected by the Fall of 1987.

In cases where the NRC recommended improvements to the training

program, the licensee was very responsive in addressing the NRC

concerns.

2. Conclusion

The licensee is rated Category 1 in this area. This area was

not rated in the last assessment oeriod, because this is a new

functional area.

3. Board Recommendations

. None

28

l

- - _ _ - . _ . - - . . - - - - . _ _ _ _ _ - _ - _ - - ._ _. . - ___

.

.

o

V. SUPPORTING DATA AND SUMMARIES

A. Licensee Activities

1. Unit 1

Zion Unit 1, began the assessment period in routine power

operation and ended the assessment period in a refueling

outage. This refueling outage is expected to last until

March 3, 1987 (SALP 7). During this assessment period,

Unit 1 experienced two outages.

Unit 1 outages are summarized below:

a. March 10-17, 1986: After receiving a full power reactor

trip, due to a reactor trip breaker not being properly

racked into place, Unit I remained shutdown to repair a

bowed shaft on a RHR pump,

b. September 4, 1986: Unit 1 began it's 17 week, routine

refueling and maintenance outage.

2. Unit 2

During this assessment period, Unit 2 began the assessment

period in an extended refueling outage; this refueling outage

lasted until February 4,1986. Unit 2 experienced seven

outages.

Unit 2 outages are summarized below:

a. December 6, 1985 thru February 4, 1986: Shutdown for

refueling, routine maintenance and 10 year in-service

inspections.

b. February 28 thru March 2, 1986: Unit 2 was taken off

line to perform over-speed trip vibration tests on the

newly installed Brown-Boveri low pressure steam turbine.

c. March 24 thru 25, 1986: After receiving a trip from

full power during reactor protection system testing,

Unit 2 remained shutdown to investigate electrical noise

and radio frequency problems in the nuclear instrumenta-

tion drawers,

d. June 27 thru July 14, 1986: Unit 2 remained shutdown

due to failure of primary system instruments after a

lightning strike caused a reactor trip on high Over-

Temperature Delta-T. Five reactor coolant system

resistance temperature detectors were replaced, one

accumulator transmitter was recalibrated, and maintenance

was performed on an essential service water pump.

29

Mc

'

s, ' ' \

t e

,

, ,

I  %,yg -t , s

7 .

'

- t A i  ; s. ._

e

f

'

e, '1986: Unit 2 was shutdo*, from mode 2 (4 hour4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> -

yJuly

LCO act 5,'f an staAament) to repair esstotial service water

a

pumon %ich we're out of servicel ei t

, sc ,

, q f. September 20-22, 1986: Unit 2 was shutdown to repair , .

.

the turbine electro-b3draulic control system. N

N ( " '

..

T B. Inspection Aci.iv'1 ties

p. , (- 'Q,y v. -

There were 33) inspections concucted at Unit 1 and 33 inspections '

o

conducted at'# nit 2 during this, assessment period for October 1,

1985 througti Xavember 30,1986.*? ,

'

'

1. Inspe::tf on Data

Facility Name: Zion '

'3

Unit: 'l ,

Docet No . : 50-295 *

e, i

" Ins'p'edtion Reports No. : 85001, 85032, 85036, 85038 through

'

85043, 86001 through 86019, 86021 t t. cough

j~86024, 86027 and 86029.86005,l86007/through

'

t ', . >

's t,,

'

Facility Name: Zion ,

Unit: 2 c'y

Docket No.: 50-304 -

3

s ',

, Inspection Reports No.: 85001, 85033, 85035, 85038 through , e

85044, 86001 through 86005, 86007 through 26019, 86020,  ;, -

86022 through 86024, 86027,'and 86029. j

'

'

Table'1

'

, \. [s

'

e

,

,  ; ,s

Number of Violations in Each Severity Level

'

. .. 1- Commontd

i Unit 1 , Unit 2 Both Units

Functional Areas o I II III IV V I II III IV V I II III IV V

r

A. Plant Operations 3 1 1

B. Radiological Controls 1  %

C. Maintenance 2

D. Surveillance . 2

E. Fire Protection 1

F. Emergency Preparedness '

G. Security 1'

H. Outages 11

1. Quality Programs and

Adminis. Controls

Affecting Quality 2

J. Licensing Activities '

,

,

K. Training & Qualification

Effectiveness

t.

TOTAL I II III IV V

0 0 0 30

I II III IV V

0 0 0 31 I II III N

0 0 \0 90

t V'

30

s

s

_ _ _ _ _ _ _ _ - - _

-_- - _ - _ _ - _ _ - _ _ _ - _ _ _ -

'

,

4 - , .s <

., 3

l l 2. Special Inspection Summary

. s

4 None

i

C. Investigations and Allegations Review

'> Allegation Review

Seven allegations relating to Zion consisting of eleven concerns

were received in Region III during this assessment period. Four

allegations were of a nature that they were closed following

regional review. Two others dealt with safeguards issues and one

, No safety significance issues

y, l } pertained

or violationsto administrative

were identifiedissues.

from the NRC review of these

,'

/

'

,

'

g allegations.

c 1

-

D. {scalatedEnforcementActions

No civil penalties were issued during this assessment period.

Y During this assessment period one Severity Level III violation,

,

regarding the inoperable IB auxiliary feed water pump, was

initially proposed with a $25,000 civil penalty. However, after

the NRC reevaluated the licensee's response, the severity level

yas reduced to Severity Level IV based on the over 100% of

required capacity remaining even with the one pump inoperable.

E. Licensee Conferences Held During Assessment Period

1. January 10, 1986, (Regional Office) - Management meeting to

discuss the findings of Zion's SALP 5.

'

2. March 14, 1986 (Regional Office) - Enforcement Conference was

held to discuss information regarding the IB auxiliary feed

water pump which were inoperable due to having service water

to the bearing oil cooler valved out.

3. April 9, 1986, (SITE) - A tour and management meeting with

representatives from Zion plant management to discuss

operational safety.

4. April 29, 1987, - Management meeting regarding the history

behind improperly set negative flux rate reactor trip (NFRT)

setpoints, and to discuss corrective actions taken in response

to the December 14, 1985, loss of residual heat removal event

which occurred when Unit 2 was in cold shutdown.

(

5. May 21,1986, (Site) - Management meeting to tour the facility

and meet with station management.

F. Confirmation of Action Letters

October 27, 1986, A Confirmatory Action Letter was issued following

the October 24, 1986, failure of the IB diesel generator during

post-maintenance testing.

31

'

_ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - - _ _ _ _ _

~

,y,q '

'

,

, (

/- ,tt e

' . ,

G. A Review of Licensee Event Reports and 10 CFR 21 Reports Submf tted

by-the Licensee

1. Licensee Event Reports (LERs)

1

'

Unit 1

,. Docket No.: 50-295

4 LERs Nos.: 85040, 85042 thru 85047, and 86001 thru 86040.

i Unit 2

l Docket No.: 50-304

l LERs Nos.: 85026 th;*u 85029 and 86001 thru 86022.

Seventy-three LERs were issued during this assessment period;

30 LERs were the result of personnel errors; 22 LERs resulted

from procedure inadequacies; 7 LERs were due to component /

equipment failures; 4 LERs were related to design problems;

and 10 LERs fell into the other categories (i.e., unknown

human errors, external causes, and other).

1

CAUSE Unit 1 Unit 2

Personnel Errors '

18 12

Procedure Inadequacies 15 7

, Design / Construction 2 2

External Causes 0 1

Component / Equipment 6 1

Other 5 2

Unknown Human Errors 1 1

NOTE: The above information was derived from reviews of

Licensee Event Reports performed by NRC Staff and

may not completely coincide with the unit or cause

assignments which the licensee would make. In

addition, this table is based on assigning one cause

code for each LER and does not necessarily correspond

to the identification of LERs addressed in the

Performance Analysis Section (Section IV) where

multiple cause codes may be assigned to each LER.

The frequency of occurrence of LERs was unchanged since the

previous SALP. During SALP 5 95 LERs were identified over a

17 month assessment period or an average of 5.3 per month

compared to an average of 5.2 LERs per month during this

assessment period. The percentage of LERs which were caused

by personnel error increased during this assessment period

from 32.7% to 41.1%. Although this percentage is not

considered excessively high, the number of LERs issued is

high and improvements in both statistic is warranted.

32

- - - - - - - - - - - - - )

o

~

o

l 2. Analysis and Evaluation of Operational Data (AE00)

'

The results of the AE00 evaluation of Zion Licensee Event

Reports for this assessment period indicated an improvement

in both content and quality. AEOD assessed an average score

of 8.8 out of a possible 10 points; compared to Zion's

previous overall average score of 6.8 and the current reactor

industry average of 8.1. AE00 indicated that information

concerning the identification of failed components needs to

improve. However, strong points of the Zion LERs are that

information concerning mode, mechanisms, and effect of a

failed components is well written.

2. 10 CFR 21 Reports

(a) Inspection Report 304/85018 documented limitorque wires

for which there was inadequate environmental qualification

documentation.

(b) Inspection Report 304/86017 documented leaking Anderson-

Greenwood 5-valve manifolds.

H. Licensing Activities

1. NRR Site Visits / Meetings / Licensee Management Conferences

Inadequate Core Cooling January 21, 1986

Core Reload Methodology January 31, 1986

Appendix R, Fire Protection September 30, 1986

Pressurized Thermal Shock October 3, 1986

Site Visit May 12-16, 1986

2. Commission Meetings

None

3. Schedule Extensions Granted

None

4. Reliefs Granted

ASME Code, Rev. 5 to ISI Program March 27, 1986

5. Exemptions Granted

None I

6. Licensee Amendments Issued

Amendment

Number Title Date

33

__ _

c>

%

4

91/81 Items A.1 and A.2 of 1980

Confirmatory Order December 31, 1985

92/82 Capsule withdrawal schedule January 16, 1986

93/83- Mechanical and hydraulic snubbers January 22, 1986

94/84 Enrichment limits for new and

spent fuel pools February 19, 1986

95/85 Negative rate trip setpoints March 10, 1986

96/86 Radiological Environmental

Technical Specifications March 24, 1986

97/87- Degraded grid voltage protection

system March 27, 1986

98/88 S.G. tube sleeving methodology November 18, 1986

7. Emergency Technical Specifications Issued

Amendments 95 and 85 - Negative rate trip setpoints - issued

March 10, 1986,

8. Orders Issued

None

9. NRR/ Licensee Management Conference

None

.

34